Individual
HEATHER PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
(678) 854-6620
Mailing address
59 HOSPITAL RD, NEWNAN, GA 30263-1209
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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