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PHILLIP L. POTTER MD FACOG PC NPI 1891835021


NPI Information

NPI: 1891835021
Provider Name: PHILLIP L. POTTER, MD, FACOG, PC

Other Name: PHILLIP L. POTTER, MD

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1700 HOSPITAL SOUTH DR
SUITE 504
AUSTELL, GA
ZIP 30106
Phone: (770) 819-8211
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PHILLIP L. POTTER, MD, FACOG, PC is a specialist in Austell, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHILLIP L. POTTER, MD, FACOG, PC NPI is 1891835021. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Phillip L. Potter, Md.

The provider's business location address is:

1700 HOSPITAL SOUTH DR
SUITE 504
AUSTELL, GA
ZIP 30106-810
Phone: (770) 819-8211
Fax: (770) 819-9616

The provider's authorized official is Phillip Potter .
The authorized official title is Medical Director and has the following contact phone number (404) 352-5119.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist034220GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100463163BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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