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Raven Porter
NPI 1275371916 · on the registry since 2024 · sole proprietor
Practice
- Address
- 811 24th St S
Columbus, MS 39701 - Phone
- (662) 240-2591
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-17
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 Mississippi