Individual
DR. DAVID G PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
1220 N FANT ST, ANDERSON, SC 29621-4822
(864) 226-6005
(864) 225-1139
Mailing address
PO BOX 838, ANDERSON, SC 29622-0838
(864) 224-8707
(894) 225-1139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
642
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365191
—
SC
Enumeration date
11/14/2005
Last updated
10/15/2008
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