# J T POTTER JR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841216496
- **Authorized official:** JAMES THOMAS POTTER MD (CEO)
- **Authorized official phone:** (276) 679-0800

## Contact information

- **Practice address:** 611 TRENT ST NE, SUITE A, NORTON, VA 24273
- **Practice address phone:** (276) 679-0800
- **Mailing address:** 159 RIDGEFIELD RD SW, WISE, VA 24293-5607
- **Mailing address phone:** (276) 679-0800
- **Mailing address fax:** (276) 679-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 0101232468 | VA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/23/2019