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Individual

JOLIE GARCIA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7690 WOLF RIVER CIR, GERMANTOWN, TN 38138-1744
(901) 756-1231
(901) 791-9495
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27601
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522479
TN
01
4342199
BCBS
TN
01
P01213528
RAILROAD MEDICARE
Enumeration date
09/06/2005
Last updated
05/20/2025
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