LEWIS GORDON PORTER

JOHNSON CITY, TN
NPI1255491585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  1461)
Enumeration Date2006-12-08
Last Update Date2008-03-27
Business Address
-- LEWIS GORDON PORTER PA-C
3 PROFESSIONAL PARK DR SUITE 21
JOHNSON CITY, TN 37604-6529
Phone number: 423-434-6300
Mailing Address
-- LEWIS GORDON PORTER PA-C
3 PROFESSIONAL PARK DR SUITE 21
JOHNSON CITY, TN 37604-6529
Phone number: 864-710-0745
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