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1821036179
KEITH G PORTER
KINGSPORT, TN
NPI
1821036179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 35985)
Enumeration Date
2006-06-02
Last Update Date
2008-03-27
Business Address
Dr. KEITH G PORTER MD
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
Dr. KEITH G PORTER MD
999 EXECUTIVE PARK BLVD SUITE 201
KINGSPORT, TN 37660-4632
Phone number: 423-224-3250
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