Individual
JARED POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1465
(404) 603-4253
(404) 603-4426
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
IP1557
KY
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
92729
GA
Other
Enumeration date
03/30/2017
Last updated
09/23/2022
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