Individual
MR. JAMES THOMAS POTTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 TRENT ST NE STE A, NORTON, VA 24273-1533
(276) 679-5437
(276) 679-5438
Mailing address
611 TRENT ST NE STE A, NORTON, VA 24273-1533
(276) 679-5437
(276) 679-5438
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101232468
VA
2080P0201X
Pediatric Allergy/Immunology Physician
0101232468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010002761
—
VA
01
—
208496
ANTHEM
VA
Enumeration date
02/27/2007
Last updated
03/26/2025
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