Individual
MRS. AIKATERINE SOFIA POTTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4166 BUFORD HWY NE, ATLANTA, GA 30345-1081
(404) 785-8160
Mailing address
4166 BUFORD HWY NE, ATLANTA, GA 30345-1081
(404) 785-8160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN192200
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-2201217
TAX ID
GA
Enumeration date
10/30/2012
Last updated
10/30/2012
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