Individual
JAMES ERON PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 737-9250
(706) 733-0697
Mailing address
PO BOX 204097, AUGUSTA, GA 30907
(706) 855-9860
(706) 860-7124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
052809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065673
AMERIGROUP
GA
05
—
188087436A
—
GA
05
—
G52809
—
SC
01
—
P00227631
RAILROAD MEDICARE
GA
Enumeration date
05/01/2006
Last updated
02/06/2020
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