MEDICARE: DR. JOHN ARTHUR HARRIS PORTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	9800359	NC
2	2084N0400X	Neurology Physician	51877	SC

General Provider Information

NPI Number	:	1487636999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ARTHUR HARRIS PORTER MD

Provider Business Mailing Address
First Line	:	131 COMMONWEALTH DR STE 240
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-5194
Country	:	US
Telephone Number	:	864-516-1170
Fax Number	:	877-249-9483

Provider Business Practice Location Address
First Line	:	3 SAINT FRANCIS DR STE 330
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-3972
Country	:	US
Telephone Number	:	864-516-1170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/08/2026

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