Individual
DR. JOSEPH CHRISTOPHER PORTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 GLENWOOD DR, SUITE 105, CHATTANOOGA, TN 37404-1108
(423) 495-3304
(423) 495-2589
Mailing address
605 GLENWOOD DR, SUITE 105, CHATTANOOGA, TN 37404-1108
(423) 495-3304
(423) 495-2589
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD0000025662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3060933
BLUECROSS BLUESHIELD/TN
TN
Enumeration date
10/25/2005
Last updated
03/04/2010
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