Gregory Porter, PA
NPI #1053390450 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1053390450
- Entity Type
- Individual
- Name
- Gregory Porter, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 13, 2006
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 707 CHESTNUT ST
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-2003
- Phone
- (304) 768-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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