Individual
PRASHANTH POTHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(470) 490-2142
Mailing address
1201 W FERTITTA BLVD, LEESVILLE, LA 71446-4637
(248) 635-0979
(337) 392-6206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
204696
LA
207Q00000X
Family Medicine Physician
Primary
95353
GA
208M00000X
Hospitalist Physician
95353
GA
Other
Enumeration date
08/07/2008
Last updated
09/24/2025
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