| NPI | 1538586243 | 
|---|---|
| Doing Business As | PORTER FAMILY MEDICAL CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | STEVE KING CFO 478-289-1376 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health | 
| Enumeration Date | 2014-03-20 | 
| Last Update Date | 2015-09-23 |