Organization
BRACKIN PORTER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL PORTER D.O. (PRESIDENT)
(614) 880-9333
Entity
Organization
Contact information
Practice address
1080 POLARIS PKWY, SUITE 120, COLUMBUS, OH 43240-6035
(614) 880-9333
(614) 880-9331
Mailing address
1080 POLARIS PKWY, SUITE 120, COLUMBUS, OH 43240-6035
(614) 880-9333
(614) 880-9331
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OH
Other
Enumeration date
02/02/2007
Last updated
07/15/2008
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