Search › Georgia › 103K00000X
Shani Porter
NPI 1164089504 · on the registry since 2019
Practice
- Address
- 24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458 - Phone
- (912) 208-2024
- Clinicians at this address
- 75
Additional practice sites
- 247 S Stone St, Deland, FL
- 4620 N State Road 7 Ste 300, Lauderdale Lakes, FL
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YM0800X
106S00000X - Sex
- Female
- Record last updated
- 2024-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia