| Brackin Porter Family Medicine | |
|
1080 Polaris Pkwy Suite 120 Columbus OH 43240-6035 | |
| (614) 880-9333 | |
| (614) 880-9331 |
| Full Name | Brackin Porter Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1080 Polaris Pkwy, Columbus, Ohio |
| Authorized Official Name and Position | Jill Porter (PRESIDENT) |
| Authorized Official Contact | 6148809333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brackin Porter Family Medicine 1080 Polaris Pkwy Suite 120 Columbus OH 43240-6035 Ph: (614) 880-9333 | Brackin Porter Family Medicine 1080 Polaris Pkwy Suite 120 Columbus OH 43240-6035 Ph: (614) 880-9333 |
| NPI Number | 1780722660 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780722660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Ohio) | Primary |
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