Dr. Edward S. Porubsky M.D.
Otolaryngology Physician in Augusta, GA(View on Map)
Full Name
Dr. Edward S. Porubsky M.D.
NPI Number
1225093065
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/17/2006
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
016410
Contact
Information
Purpose
Mailing
Location
Address
711 RAVENEL RD
1120 15TH ST
City
Augusta
Augusta
State
GA
GA
Postal Code
30909-1835
30912-0004
Country
US
US
Telephone Number
N/A
(706) 721-4400
Identifiers
Identifier
905998
Identifier State
SC
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007