DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY PORTER, PA

Active

Physician Assistant · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1053390450
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2006 (20.270148244579 yrs)
Last Updated
Oct 22, 2012
License
00672 (WV)

Practice Information

Address
707 CHESTNUT ST
SOUTH CHARLESTON, WV, 253092003
Browse WV providers · Browse ZIP 25309
Phone
3047688500
Fax
3047688530
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTH CHARLESTON, WV

Name Credential NPI
GARY LYNN JOHNSON PA 1336116003
MS. MURIEL JUNE WILSON PA-C 1992749212
MS. EMILY REBECCA BOLLING PA-C 1316962863
MICHELE J ROACH-COURTS PA-C 1427150481
NATALIE R BEESON PA-C 1114026861
MRS. LORI JANE RAINEY PA-C 1083797757
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.