Individual
ANDREW PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 TOWER RD NE STE 204, MARIETTA, GA 30060-9413
(404) 256-2593
Mailing address
2835 BRANDYWINE RD STE 400, ATLANTA, GA 30341-5540
(404) 256-2593
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
85274
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
01/25/2021
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