Individual
SARA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
(601) 499-0935
(601) 499-0936
Mailing address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
T-3840
MS
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30454
MS
Other
Enumeration date
04/13/2018
Last updated
09/06/2023
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