Individual
LISA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
GA
376K00000X
Nurse's Aide
CN0000047840
GA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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