| Doctor Name: | ANNETTE GRIFFIN PORTER |
| NPI Number: | 1184647810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME86761 |
| Business Practice Address: | 1376 Brickyard Rd Suite 4 Chipley, FL - 324286391 |
| Business Phone Number: | 8504156781 |
| Business Fax Number: | 8504156783 |
| Mailing Address: | 1376 Brickyard Rd, Suite 4 CHIPLEY |
| State: | FL |
| Postal Code: | 324286391 |
| Phone Number: | 8504156784 |
| Fax Number: | 8504156783 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 08/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | ME86761 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |