Adam Dean Port
Primary Podiatric Medicine
2701 N Decatur Rd
Decatur
, Georgia 30033-5918
Adam Dean Port
Primary Podiatric Medicine
2701 N Decatur Rd
Decatur
, Georgia 30033-5918
(803) 220-9603
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Adam Dean Port
- 2632 Colony Way
- Snellville, GA
- Zip : 30078-2779
- Phone : (803) 220-9603
Second Address
- Adam Dean Port
- 2701 N Decatur Rd
- Decatur, GA
- Zip : 30033-5918
- Fax : (404) 501-2095
- Phone : (404) 501-7188
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | POD001397 | GA |
National Provider Identifier
| NPI | 1033684816 |
|---|---|
| Provider Name | Adam Dean Port |
| First Address | Snellville, GA 30078-2779 |
| Second Address | Decatur, GA 30033-5918 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.