Potter, Jeffrey Michael

Potter, Jeffrey Michael is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Potter, Jeffrey Michael can be contacted via phone (252) 931-7638.

Contact Information

Primary practice address
2101 W Arlington Blvd Ste 210 Greenville NC 27834-5758
Phone: (252) 931-7638
Fax: (252) 931-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9901291 North Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 9901291 North Carolina

Profile Details

NPI number 1831171222
LBN Legal business name Potter, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Dec 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831171222 NPPES
North Carolina MEDICAID 891280W
North Carolina Other 1280W

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