Individual
TERRI POTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 FOREST LAKE DR, WARNER ROBINS, GA 31093-1019
(478) 302-9138
Mailing address
201 FOREST LAKE DR, WARNER ROBINS, GA 31093-1019
(478) 302-9138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN213445
GA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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