Organization
ASHLAND CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROGER POTTER MD (PRESIDENT)
(606) 329-0204
Entity
Organization
Contact information
Practice address
700 13TH ST, ASHLAND, KY 41101-2620
(606) 329-0204
(606) 324-7770
Mailing address
700 13TH ST, ASHLAND, KY 41101-2620
(606) 329-0204
(606) 324-7770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65917544
—
KY
Enumeration date
12/27/2006
Last updated
08/22/2020
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