Individual
BRANDON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
144 BENTWATER WAY, HOSCHTON, GA 30548-2363
(678) 863-3440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN292710
GA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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