Phillip L. Potter, Md

LBN: Phillip L. Potter, Md, Facog, Pc
Phillip L. Potter, Md is an health care organization with primary practice located at 1700 Hospital South Dr Suite 504, Austell GA 30106-6810. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Phillip L. Potter, Md, Facog, Pc can be contacted via phone (770) 819-8211, or through Potter, Phillip via phone (404) 352-5119.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 504 Austell GA 30106-6810
Phone: (770) 819-8211
Fax: (770) 819-9616
Website:
Map and Directions
Authorized official contact:
Name: Potter, Phillip Doctor of Medicine (MD)
Phone: (404) 352-5119

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 034220 Georgia

Profile Details

NPI number 1891835021
LBN Legal business name Phillip L. Potter, Md, Facog, Pc
DBA Doing business as Phillip L. Potter, Md
Authorized official Potter, Phillip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891835021 NPPES
Georgia MEDICAID 00463163B

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