Individual
MR. JONATHAN SCOTT POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
603 S SCALES ST, REIDSVILLE, NC 27320-5023
(336) 349-2120
Mailing address
1916 S PARK DR, REIDSVILLE, NC 27320-6810
(336) 342-1457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11018
NC
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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