Individual
CAROL R PORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-9891
(256) 518-8276
Mailing address
PO BOX 11407, DRAWER 141, BIRMINGHAM, AL 35246-0141
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00012160
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4050088
AETNA
AL
Enumeration date
09/20/2005
Last updated
12/04/2007
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