Individual
JOHN POTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 533-2200
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL90099
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2021
Last updated
12/13/2023
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