Individual
DANIEL SCOTT PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BUILDING RR612, LOOP RD, SNEADS FERRY, NC 28460
(910) 440-1947
Mailing address
PSC BOX 20116, CAMP LEJEUNE, NC 28542
(910) 440-1947
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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