Individual
CARLOS ALBERTO POTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2206 WILBORN AVE BLDG 1, SOUTH BOSTON, VA 24592-1630
(434) 517-8627
(434) 517-8080
Mailing address
2524 HOUGHTON AVENUE, SOUTH BOSTON, VA 24592
(434) 575-1346
(203) 286-5259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101262030
VA
207V00000X
Obstetrics & Gynecology Physician
ME103639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253359600
—
FL
Enumeration date
04/08/2009
Last updated
08/26/2024
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