Individual
MR. HUNTER B PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1846 DUTCH FORK RD, IRMO, SC 29063
(803) 781-5200
(803) 781-3843
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21141
SC
Other
Enumeration date
07/08/2017
Last updated
11/10/2020
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