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Individual

DR. EDWARD PORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1280 W PEACHTREE ST NW, SUITE 131, ATLANTA, GA 30309-3445
(404) 876-4001
Mailing address
1280 W PEACHTREE ST NW, SUITE 131, ATLANTA, GA 30309-3445
(404) 876-4001

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
016660
GA

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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