BLAIR PORTER

AUSTELL, GA
NPI1255049086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9754)
Enumeration Date2022-11-10
Last Update Date2023-02-20
Business Address
BLAIR PORTER PA
3825 MEDICAL PARK DR STE 100
AUSTELL, GA 30106-6831
Phone number: 770-941-4810
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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