Individual
KEVIN EUGENE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9601439
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28753
UNITED HEALTHCARE
NC
01
—
1132P
BCBS
NC
05
—
891132P
—
NC
01
—
930077028
RAILROAD MEDICARE
NC
01
—
930084668
RAILROAD MEDICARE
NC
01
—
B4553
MEDCOST
—
05
—
Q01439
—
SC
Enumeration date
06/14/2005
Last updated
09/29/2010
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