DAVID ANDREW PORTER

JACKSON, MS
NPI1043718398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  00365)
Enumeration Date2018-01-31
Last Update Date2019-12-23
Business Address
DAVID ANDREW PORTER PA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
DAVID ANDREW PORTER PA
577 OLD HIGHWAY 84 RD
WAYNESBORO, MS 39367-8161
Phone number: 601-381-2278
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