Individual
MELISSA GUFFEY POTISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
67 CREEKSIDE PARK CT, GREENVILLE, SC 29615-4810
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q00080
—
SC
Enumeration date
05/06/2010
Last updated
05/27/2021
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