Individual
DEBRA A PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2655 DALLAS HWY SW, SUITE 110, MARIETTA, GA 30064-2597
(770) 427-1889
(770) 427-7513
Mailing address
2655 DALLAS HWY SW, SUITE 110, MARIETTA, GA 30064-2597
(770) 427-1889
(770) 427-7513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005756
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001532
AM.SPECIALTY NETWORK
GA
01
—
52650137
BLUECROSSBLUESHIELD OF GA
GA
01
—
5707692
AETNA
GA
01
—
646983
AMERICAN CHIROPRACTIC NET
GA
Enumeration date
02/09/2007
Last updated
07/08/2007
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