Porter, Mary J
Porter, Mary J is an individual health care provider with primary practice located at 340 Hodgson Ct Suite #2, Savannah GA 31406-1520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Porter, Mary J can be contacted via phone (912) 629-2290.Contact Information
Primary practice address
340 Hodgson Ct Suite #2
Savannah GA 31406-1520
Phone: (912) 629-2290
Fax: (912) 629-2291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 032635 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 032635 | Georgia |
Profile Details
| NPI number | 1689642258 |
|---|---|
| LBN Legal business name | Porter, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 10th, 2016 - about 8 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 | 1689642258 | NPPES |
| Georgia | MEDICAID | 000473833F | |
| Georgia | Other | 290011257 |
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