Male or Other

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)

Code

207Y00000X

Primary Taxonomy

Yes

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

Provider Address

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