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Search › Georgia › 111NS0005X

Robert Portillo, D.C

NPI 1306996731 · on the registry since 2007

Practice

Address
3755 Sixes Rd Ste 100
Canton, GA 30114
Phone
(770) 704-4580
Fax
(770) 704-9142
Organisation at this address
Wellstar Medical Group, Llc
Bridgemill Family Medical Associates, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
111NS0005X
111NS0005X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-20

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 Georgia