Individual
KIM POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
131 W TAYLOR ST, GRIFFIN, GA 30223-3046
(770) 227-2428
(770) 227-3275
Mailing address
131 W TAYLOR ST, GRIFFIN, GA 30223-3046
(770) 227-2428
(770) 227-3275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH018682
STATE LIC.
FL
Enumeration date
10/20/2006
Last updated
07/08/2007
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