Individual
JACK R POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
6951 LEE HWY, CHATTANOOGA, TN 37421-2447
(423) 899-7708
(423) 855-3053
Mailing address
6951 LEE HWY, CHATTANOOGA, TN 37421-2447
(423) 899-7708
(423) 855-3053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4039
TN
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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