Individual
SCOTT E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DOCTORS DRIVE, GREEVILLE, SC 29605-5608
(864) 797-7068
(864) 797-7077
Mailing address
300 E MCBEE AVE, FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25906
SC
207XX0801X
Orthopaedic Trauma Physician
Primary
25906
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01587548
—
MS
05
—
259062
—
SC
01
—
512G700003
UP MEDICARE
MS
01
—
512I200003
MEDICARE PTAN
MS
01
—
P00462306
UP RRMCR PTAN
MS
Enumeration date
06/12/2006
Last updated
07/19/2022
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