Elizabeth-clare Mcculloch Porter M.D.

NPI 1205114808 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205114808
Gender Female
Enumeration Date 07/30/2011
Last Updated 03/04/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
720 GRACERN RD STE 120
COLUMBIA SC, 29210-7657, US
Phone (803) 296-8765
Fax
Business Location
720 GRACERN RD STE 120
COLUMBIA SC, 29210-7657, US
Phone (803) 296-8765
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Elizabeth-clare Mcculloch Porter M.D. NPI is 1205114808, taxonomy code is 390200000X Elizabeth-clare Mcculloch Porter M.D. physically located at 720 Gracern Rd Ste 120, Columbia SC, 29210-7657. NPI Number Elizabeth-clare Mcculloch Porter M.D. has the Individual type.

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1205114808 NPI number is provided on an as is basis without warranty of any kind. 1205114808 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth-clare Mcculloch Porter M.D. are for informational purposes only.