Individual
MARKUS THOMAS PORKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 TREE LN BLDG C, SNELLVILLE, GA 30078-2399
(770) 979-1200
(770) 978-0730
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(770) 962-0399
(770) 995-0533
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
051716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501476647E
—
GA
Enumeration date
04/19/2006
Last updated
07/16/2021
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