Organization
WESTSIDE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN E PORTER MD (DOCTOR)
(864) 295-1066
Entity
Organization
Contact information
Practice address
3204 WHITE HORSE RD STE D, GREENVILLE, SC 29611-5916
(864) 295-1066
(864) 295-0215
Mailing address
3204 WHITE HORSE RD STE D, GREENVILLE, SC 29611-5916
(864) 295-1066
(864) 295-0215
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
20-09427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA8580
—
SC
Enumeration date
07/18/2006
Last updated
10/07/2008
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