Individual
KELLEY SMITH POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UT COLLEGE OF MEDICINE 920 MADISON AVE, SUITE C50, MEMPHIS, TN 38163-0001
(901) 448-5364
Mailing address
200 CHARTER LN, APT. 409, MACON, GA 31210-4534
(478) 319-7834
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74759
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2008
Last updated
08/02/2017
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