Individual
JAMES W POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
620 J L WHITE DR, SUITE 110, JASPER, GA 30143-4896
(706) 692-9080
(706) 692-1199
Mailing address
620 J L WHITE DR, SUITE 110, JASPER, GA 30143-4896
(706) 692-9080
(706) 692-1199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000715987F
—
GA
05
—
00715987B
—
GA
Enumeration date
08/07/2006
Last updated
10/19/2015
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