Individual
LEWIS L POTYONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2066
Mailing address
PO BOX 8846, GREENSBORO, NC 27419-0846
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
059856
GA
207L00000X
Anesthesiology Physician
34863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910127566B
—
GA
05
—
910127566C
—
GA
05
—
994518
—
AZ
Enumeration date
03/14/2006
Last updated
04/01/2010
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