Individual
CORY PORTEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 985-3420
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 985-5675
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
82976
GA
Other
Enumeration date
04/01/2014
Last updated
09/04/2025
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