Individual
DR. WADE PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2840 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-8309
(678) 926-9300
Mailing address
2840 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062-8309
(678) 926-9300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008769
GA
Other
Enumeration date
01/21/2011
Last updated
03/04/2014
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