Porter, John G

Porter, John G is an individual health care provider with primary practice located at 790 Church St Ne Suite 550, Marietta GA 30060-7282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Porter, John G can be contacted via phone (770) 419-9902.

Contact Information

Primary practice address
790 Church St Ne Suite 550 Marietta GA 30060-7282
Phone: (770) 419-9902
Fax: (770) 419-7457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 026620 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 026620 Georgia

Profile Details

NPI number 1114962156
LBN Legal business name Porter, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 12th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114962156 NPPES
Georgia Other 2147453 CIGNA
Georgia Other 1710946322 CIGNA

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