Provider Demographics
NPI:1720591407
Name:PORTER, JAMES E
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:PORTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PINE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1600
Mailing Address - Country:US
Mailing Address - Phone:864-585-1812
Mailing Address - Fax:864-285-3550
Practice Address - Street 1:301 N PINE ST STE 1
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1600
Practice Address - Country:US
Practice Address - Phone:864-585-1812
Practice Address - Fax:864-285-3550
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0622237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist