NPI 1053390450

Gregory Porter, PA

Practitioner Physician Assistant South Charleston, WV

Practice location

Address: 707 Chestnut St, South Charleston, WV 25309-2003
Phone: (304) 768-8500
Fax: (304) 768-8530

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 00672 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1053390450
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2006
Record last updated: 22 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.