Individual
GREGORY J. POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9420 BROWNSBORO RD, LOUISVILLE, KY 40241-1118
(502) 426-4264
(502) 426-4221
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
30295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000052203
ANTHEM BCBS
KY
Enumeration date
06/14/2006
Last updated
10/25/2012
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