Individual
BENJAMIN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
(423) 245-8916
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
135.001005
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
905
TN
213ES0131X
Foot Surgery Podiatrist
905
TN
Other
Enumeration date
04/09/2018
Last updated
02/20/2026
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