Individual
MARK TAVIN POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 E INDEPENDENCE BLVD STE 203, CHARLOTTE, NC 28205-7034
(704) 201-7944
Mailing address
2925 E INDEPENDENCE BLVD STE 203, CHARLOTTE, NC 28205-7034
(704) 201-7944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7130
NC
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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