Organization
EDGER V POTTER JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGER VERDAN POTTER JR. MD (PRESIDENT)
(301) 203-9570
Entity
Organization
Contact information
Practice address
12017 FORT WASHINGTON RD, FORT WASHINGTON, MD 20744-6004
(301) 203-9570
(301) 203-1796
Mailing address
12017 FORT WASHINGTON RD, FORT WASHINGTON, MD 20744-6004
(301) 203-9570
(301) 203-1796
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD9565
DC
207R00000X
Internal Medicine Physician
Primary
MD9565
DC
207RR0500X
Rheumatology Physician
MD9565
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023634400
—
DC
05
—
260891000
—
MD
Enumeration date
08/15/2007
Last updated
09/16/2011
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