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Search › Georgia › 101YM0800X

Porsche Prowell, BS

NPI 1871919878 · on the registry since 2014 · sole proprietor

Practice

Address
2100 Comer Ave
Columbus, GA 31906
Phone
(706) 596-5575
Organisation at this address
New Horizons
Montgomery Vamc
New Horizons Csb
Genoa Healthcare Llc
New Horizons Csb Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
754

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-14

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