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1255049086
BLAIR PORTER
AUSTELL, GA
NPI
1255049086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9754)
Enumeration Date
2022-11-10
Last Update Date
2023-02-20
Business Address
BLAIR PORTER PA
3825 MEDICAL PARK DR STE 100
AUSTELL, GA 30106-6831
Phone number: 770-941-4810
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Mailing Address
BLAIR PORTER PA
2735 PACES FERRY RD SE APT 455
ATLANTA, GA 30339-7641
Phone number: 404-454-5550
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