Individual
TIMOTHY ALAN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4095 AMERICAN WAY, SUITE 1, MEMPHIS, TN 38118-8339
(901) 271-9500
(901) 271-9501
Mailing address
3960 KNIGHT ARNOLD RD, SUITE 206, MEMPHIS, TN 38118-3035
(901) 271-9500
(901) 271-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46256
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518264
—
TN
Enumeration date
11/16/2007
Last updated
01/14/2015
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