Individual
JAMES ERON PORTERFIELD
Active
Individual
JAMES ERON PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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