Individual
GREG LELAND POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
46 WESLEY RD, DALEVILLE, VA 24083-3082
(540) 591-9440
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0102201361
VA
207Q00000X
Family Medicine Physician
Primary
0102201361
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326105669
—
VA
Enumeration date
01/03/2007
Last updated
08/15/2025
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