Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS ASHLEY PORTER, M-PAC
Active Sole ProprietorDOUGLAS ASHLEY PORTER, M-PAC is a Physician Assistant healthcare provider located in WOODLAWN, Tennessee. NPI 1477863322 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODLAWN, TN
Registration Details
- NPI Number
- 1477863322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2010 (15.818570443121 yrs)
- Last Updated
- Oct 13, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
3110 LYLEWOOD RDWOODLAWN, TN, 371918232Browse TN providers · Browse ZIP 37191
- Phone
- 9315426193
- Primary Specialty
-
Physician Assistant
363A00000X
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.