HARRY JACOB PORTMAN

MACON, GA
NPI1518248434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-09-06
Last Update Date2011-09-06
Business Address
-- HARRY JACOB PORTMAN
1550 COLLEGE ST
MACON, GA 31207-0001
Phone number: 478-301-2531
Mailing Address
-- HARRY JACOB PORTMAN
1550 COLLEGE ST
MACON, GA 31207-0001
Phone number: