Porter, Dwight A
Porter, Dwight A is an individual health care provider with primary practice located at 4405 Mall Blvd Suite 200, Union City GA 30291-2044. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Porter, Dwight A can be contacted via phone (770) 969-4309.Contact Information
Primary practice address
4405 Mall Blvd Suite 200
Union City GA 30291-2044
Phone: (770) 969-4309
Fax: (770) 969-4170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 006366 | Georgia |
Profile Details
| NPI number | 1194158220 |
|---|---|
| LBN Legal business name | Porter, Dwight A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | Aug 13th, 2013 - about 12 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.
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