Individual
MR. GREGORY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL BMC MCAS, CAMP LEJEUNE, NC 28542
(910) 449-6500
(910) 449-6532
Mailing address
45 HILAND SPRINGS WAY, APT C, QUEENSBURY, NY 12804-3115
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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