Organization
PHILLIP L. POTTER, MD, FACOG, PC
Active
Other names
Phillip L. Potter, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP POTTER MD (MEDICAL DIRECTOR)
(404) 352-5119
Entity
Organization
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 504, AUSTELL, GA 30106-6810
(770) 819-8211
(770) 819-9616
Mailing address
1938 PEACHTREE RD NW, SUITE 303, ATLANTA, GA 30309-1267
(404) 352-5119
(404) 352-5330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00463163B
—
GA
Enumeration date
02/07/2007
Last updated
08/22/2020
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