Douglas Ashley Porter, M-PAC

NPI #1477863322 in Woodlawn, Tennessee

Provider Information

NPI Number: 1477863322
Entity Type: Individual
Name: Douglas Ashley Porter, M-PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: M-PAC
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 3110 LYLEWOOD RD
City: Woodlawn
State: Tennessee
ZIP Code: 37191-8232
Phone: (931) 542-6193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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