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Tichelle Carol-denise Porch, MD
Student in an Organized Health Care Education/Training Program in Dunwoody, Georgia
NPI 1447991302

Tichelle Carol-denise Porch is a Student in an Organized Health Care Education/Training Program based in Dunwoody, GA. Tichelle Carol-denise Porch practices in Dunwoody, GA and has the professional credentials of MD. The NPI Number for Tichelle Carol-denise Porch is 1447991302 and holds a License No. (Georgia).

The current practice location address for Tichelle Carol-denise Porch is 4500 N Shallowford Rd, Dunwoody, GA and can be reached out via phone at 404-778-6920 and via fax at 404-778-6811.

Location: 4500 N Shallowford Rd, Dunwoody, GA, 30338-6476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447991302
Provider Name
Tichelle Carol-denise Porch
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4500 N Shallowford Rd, Dunwoody, GA, 30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 N Shallowford Rd
City
Dunwoody
State
Georgia
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
person
Provider Business Mailing Address Details
Address
4500 N Shallowford Rd
City
Dunwoody
State
Georgia
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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