# MR. ROBERT T. POTTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134294036
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 00948 | WV | — |
| 363A00000X | Physician Assistant | 50001843 | OH | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 09/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000353890 | ANTHEM BCBS | OH |
| 01 | — | 231646 | ADVANTRA CARELINK | — |
| 01 | — | P00399683 | RR MEDCR | — |