Potts, Gregory J.

Potts, Gregory J. is an individual health care provider with primary practice located at 9420 Brownsboro Rd , Louisville KY 40241-1118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Potts, Gregory J. can be contacted via phone (502) 426-4264.

Contact Information

Primary practice address
9420 Brownsboro Rd Louisville KY 40241-1118
Phone: (502) 426-4264
Fax: (502) 426-4221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 30295 Kentucky

Profile Details

NPI number 1336182450
LBN Legal business name Potts, Gregory J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 25th, 2012 - about 12 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 1336182450 NPPES
Kentucky Other 000000052203 ANTHEM BCBS

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