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Individual

FRED E POTTS IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11700 MERCY BLVD # 3, SAVANNAH, GA 31419-1753
(912) 927-8887
(912) 927-8064
Mailing address
11700 MERCY BLVD # 3, SAVANNAH, GA 31419-1753
(912) 927-8887
(912) 927-8064

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.135303
IL
207R00000X
Internal Medicine Physician
Primary
075324
GA
207R00000X
Internal Medicine Physician
112571
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075324
GEORGIA MEDICAL BOARD
GA
Enumeration date
09/25/2006
Last updated
03/31/2016
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