Individual
SANDRA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EP-C
Contact information
Practice address
200 S ENOTA DR NE, GAINESVILLE, GA 30501-3473
(404) 925-2626
Mailing address
174 LAUREN MARIE DR, BRASELTON, GA 30517-2084
(404) 925-2626
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
833754
GA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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