Individual
ALEXANDRA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
232 19TH ST NW, 7220, ATLANTA, GA 30363-1130
(404) 367-3000
Mailing address
232 19TH ST NW, 7220, ATLANTA, GA 30363-1130
(404) 367-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7016
GA
Other
Enumeration date
10/22/2013
Last updated
01/16/2017
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