Organization
THOMAS G POTTLE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GALBRAITH POTTLE MD (MD OWNER)
(910) 452-2175
Entity
Organization
Contact information
Practice address
5305K WRIGHTVILLE AVE, WILMINGTON, NC 28403
(910) 452-2175
(910) 452-1962
Mailing address
5305K WRIGHTVILLE AVE, WILMINGTON, NC 28403
(910) 452-2175
(910) 452-1962
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
28311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911878
—
NC
Enumeration date
05/10/2006
Last updated
08/22/2020
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