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LAURINE SHERYL PORTER FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1932624053

Individual Registrant:
 LAURINE SHERYL PORTER FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3026 HWY 252  FOLKSTON, GA 31537-2673 US
Tel: 912-496-6905  Fax: 912-496-6798

Contact information for business:
606 SARGEANT ST  WAYCROSS, GA 31501-6353 US
Tel: 912-550-1556  Fax: --

Registration Information:
NPI: 1932624053
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN230388

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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