Individual
DR. JACK BENSON POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 410, ATLANTA, GA 30342-1631
(404) 256-3788
(404) 847-9613
Mailing address
960 JOHNSON FERRY RD NE, SUITE 410, ATLANTA, GA 30342-1631
(404) 256-3788
(404) 847-9613
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
29755
GA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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