Porter, Cedric Elmer
Porter, Cedric Elmer is an sole proprietor health care provider with primary practice located at 124 Victory Drive , Swainsboro GA 30401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porter, Cedric Elmer can be contacted via phone (478) 237-5506.Contact Information
Primary practice address
124 Victory Drive
Swainsboro GA 30401
Phone: (478) 237-5506
Fax: (478) 237-5508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 029363 | Georgia |
Profile Details
| NPI number | 1174578223 |
|---|---|
| LBN Legal business name | Porter, Cedric Elmer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | May 17th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174578223 | NPPES |
| Georgia | MEDICAID | 000347311B |
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