person
Mr. Mesiah O'mar Porter JR.
Family Nurse Practitioner in Duluth, Georgia
NPI 1134783368

Mesiah O'mar Porter JR. is a Family Nurse Practitioner based in Waycross, GA and is specialized in Family. Mesiah O'mar Porter JR. practices in Duluth, GA. The NPI Number for Mesiah O'mar Porter JR. is 1134783368 and holds a License No. 83-1469962 (Georgia).

The current practice location address for Mesiah O'mar Porter JR. is 1611 Satellite Blvd Ste 3, Duluth, GA and can be reached out via phone at 770-614-6266 and via fax at 770-623-9949. You can also correspond with Mesiah O'mar Porter JR. through the mailing address at 3085 BENTWOOD DR, WAYCROSS, GA - 31503-4117 (mailing address contact number: 912-288-1024).

Location: 1611 Satellite Blvd Ste 3, Duluth, GA, 31503-4117
person
Provider Profile Details
NPI Number
1134783368
Provider Name
Mesiah O'mar Porter JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1611 Satellite Blvd Ste 3, Duluth, GA, 31503-4117
Phone Number
770-614-6266
Fax Number
770-623-9949
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN242562 01 GA GEORGIA PROFESSIONAL LICENSING
2018003411 01 GA AMERICAN NURSES CREDENTIALING CENTER
institution
Provider Business Practice Location Address Details
Address
1611 Satellite Blvd Ste 3
City
State
Zip
30097-4913
Phone Number
770-614-6266
Fax Number
770-623-9949
person
Provider Business Mailing Address Details
Address
1611 Satellite Blvd Ste 3
City
State
Zip
30097-4913
Phone Number
770-614-6266
Fax Number
770-623-9949
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
83-1469962 (Georgia)
Definition
Definition to come...
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