Individual
MELISSA LAWHORN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
230 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 790-4000
(912) 790-4407
Mailing address
PO BOX 14459, SAVANNAH, GA 31416-1459
(912) 790-4000
(912) 790-4407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005563
GA
Other
Enumeration date
05/06/2009
Last updated
11/10/2011
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