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General NPI Number Information
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NPI Number | 1750380549
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Entity Type | Individual
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Provider Name | WILLIAM E PORTER MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 6324 FAIRVIEW RD SUITE 390
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City | CHARLOTTE
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State | NC
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Zip | 28210-3271
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Country | US
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Telephone | 704-316-1120
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Fax | 704-316-1121
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-316-1120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 2007-01871
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2007-01871
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License Number State | NC
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