Dr BRIAN RICHARD PORT is a male medical professional, specializing in Family Medicine. He graduated in 1980 from Albany Medical College Of Union University.
623 MEMORIAL AVE N
ALLENDALE
SC
298102715
Tel:
| Npi | 1336133602 |
| Pac Id | 0143395087 |
| Professional Enrollment Id | I20170315000863 |
| Last Name | PORT |
| First Name | BRIAN |
| Middle Name | RICHARD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | |
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| Line 1 Street Address | 623 MEMORIAL AVE N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ALLENDALE |
| State | SC |
| Zip Code | 298102715 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 421300 |
| Hospital Affiliation Lbn 1 | ALLENDALE COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | 420072 |
| Hospital Affiliation Lbn 2 | HAMPTON REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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