Individual
ERIC C POTTER
Active
Individual
ERIC C POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36165
TN
208000000X
Pediatrics Physician
36165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38763541
—
TN
05
—
4142480
—
TN
01
—
4178280
BCBST
TN
01
—
7100046250
KENTUCKY MEDICAID
KY
01
—
P00635228
RAILROAD MEDICARE
—
Enumeration date
08/03/2005
Last updated
03/25/2013
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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