Individual
KIP ANTHONY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 ENTERPRISE CT STE C, COLUMBUS, GA 31904-9096
(706) 221-6448
(706) 365-0002
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(951) 335-9825
(812) 590-8333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017130
GA
Other
Enumeration date
04/08/2024
Last updated
06/29/2024
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