person
Adam Dean Port
Foot & Ankle Surgery Podiatrist in Norcross, Georgia
NPI 1033684816

Adam Dean Port is a Foot & Ankle Surgery Podiatrist based in Peachtree City, GA and is specialized in Foot & Ankle Surgery. Adam Dean Port practices in Norcross, GA. The NPI Number for Adam Dean Port is 1033684816 and holds a License No. POD001397 (Georgia).

The current practice location address for Adam Dean Port is 5635 Peachtree Pkwy Ste 100, Norcross, GA and can be reached out via phone at 770-368-6215 and via fax at 770-368-6261. You can also correspond with Adam Dean Port through the mailing address at 1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA - 30269-4794 (mailing address contact number: 678-902-0457).

Location: 5635 Peachtree Pkwy Ste 100, Norcross, GA, 30269-4794
person
Provider Profile Details
NPI Number
1033684816
Provider Name
Adam Dean Port
Credential
Provider Entity Type
Individual
Gender
Male
Address
5635 Peachtree Pkwy Ste 100, Norcross, GA, 30269-4794
Phone Number
770-368-6215
Fax Number
770-368-6261
Provider Enumeration Date
10/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5635 Peachtree Pkwy Ste 100
City
State
Zip
30092-2823
Phone Number
770-368-6215
Fax Number
770-368-6261
person
Provider Business Mailing Address Details
Address
5635 Peachtree Pkwy Ste 100
City
State
Zip
30092-2823
Phone Number
770-368-6215
Fax Number
770-368-6261
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001397 (Georgia)
Definition
Definition to come...
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