Individual
DR. BENJAMIN DAVID POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
(843) 792-0192
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
(843) 792-0192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL33580
SC
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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