Individual
DESIREE LW POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 ALLENTOWN RD STE 104, FORT WASHINGTON, MD 20744-1526
(678) 851-3854
Mailing address
2006 LINDSEY LN, DECATUR, GA 30035-1930
(678) 851-3854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO108685
GA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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