Porter, Walter Frank
Porter, Walter Frank is an individual health care provider with primary practice located at 2230 Towne Lake Pkwy Building 1200, Suites 100 & 110, Woodstock GA 30189-5540. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Porter, Walter Frank can be contacted via phone (770) 926-2744.Contact Information
Primary practice address
2230 Towne Lake Pkwy Building 1200, Suites 100 & 110
Woodstock GA 30189-5540
Phone: (770) 926-2744
Fax: (770) 926-2794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1710933924 |
|---|---|
| LBN Legal business name | Porter, Walter Frank |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Feb 4th, 2011 - 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 | 1710933924 | NPPES |
| Georgia | MEDICAID | 000980383A | |
| Georgia | Other | 52806653017 | |
| Georgia | MEDICAID | 000980383F | |
| Georgia | MEDICAID | 000980383C | |
| Georgia | Other | 52806653006 |
Popular Providers
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Matuszek, Myra Ann
2230 Towne Lake Pkwy Bldg. 1200, Suites 100 &110, Woodstock GA 30189-5540 -
Glisson, Angela G
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Bulow, Leah Ann
2230 Towne Lake Pkwy Bldg. 1200, Suites 100 & 110, Woodstock GA 30189-5540 -
West, Angela K.
2485 Towne Lake Pkwy Suite F, Woodstock GA 30189-8234 -
Goult, Christopher Allen
2295 Towne Lake Pkwy Ste 148, Woodstock GA 30189-5520 -
Dunkle, Suzanne V
4595 Towne Lake Pkwy # 300/240 , Woodstock GA 30189-5514 -
Elsberry, Robert Kent
1432 Towne Lake Pkwy Ste 120, Woodstock GA 30189 -
French, David L
6236 Holly Springs Pkwy Ste D8 , Woodstock GA 30188-2426