Individual
MS. POLLY ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
35731 DUNTHORPE LN, PURCELLVILLE, VA 20132-5225
(703) 395-3885
Mailing address
35731 DUNTHORPE LN, PURCELLVILLE, VA 20132-5225
(703) 395-3885
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110001565
VA
Other
Enumeration date
09/11/2006
Last updated
07/21/2022
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