Individual
NATHAN LEE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4017 NORTHLAKE CREEK DR, TUCKER, GA 30084-3423
(317) 501-9558
Mailing address
4017 NORTHLAKE CREEK DR, TUCKER, GA 30084-3423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
007517
GA
363A00000X
Physician Assistant
Primary
7517
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/11/2015
Last updated
06/10/2024
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