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Contact Information

MARK A PORTER, MD
200 S HERLONG AVE
SUITE H
ROCK HILL, SC29732-1182
 Phone: 803-366-6135
 Fax: 803-366-3439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MARK A PORTER · (Male)

NPI Number 1346232634
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 10/30/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 22500
  • NC Medicaid 7902900
  • SC Medicaid PA8722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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