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Wendell Keith Porter, PA-C
Medical Physician Assistant in Sevierville, Tennessee
NPI 1487624623

Wendell Keith Porter is a Medical Physician Assistant based in Sevierville, TN and is specialized in Medical. Wendell Keith Porter practices in Sevierville, TN and has the professional credentials of PA-C. The NPI Number for Wendell Keith Porter is 1487624623 and holds a License No. NCCPA:1040254 (Tennessee).

The current practice location address for Wendell Keith Porter is 1105 Oak Cluster Dr, Sevierville, TN and can be reached out via phone at 865-908-3636 and via fax at 865-908-3644.

Location: 1105 Oak Cluster Dr, Sevierville, TN, 37862-6079
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Provider Profile Details
NPI Number
1487624623
Provider Name
Wendell Keith Porter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1105 Oak Cluster Dr, Sevierville, TN, 37862-6079
Phone Number
865-908-3636
Fax Number
865-908-3644
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0626PA 05 SC
institution
Provider Business Practice Location Address Details
Address
1105 Oak Cluster Dr
City
State
Zip
37862-6079
Phone Number
865-908-3636
Fax Number
865-908-3644
person
Provider Business Mailing Address Details
Address
1105 Oak Cluster Dr
City
State
Zip
37862-6079
Phone Number
865-908-3636
Fax Number
865-908-3644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
NCCPA:1040254 ()
Definition
Definition to come...
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