Jack Benson Potter MD

NPI 1073666087 - Internal Medicine - 207RA0201X

NPI Details
NPI 1073666087
Gender Male
Enumeration Date 01/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
960 JOHNSON FERRY RD NE
SUITE 410
ATLANTA GA, 30342-1631, US
Phone (404) 256-3788
Fax (404) 847-9613
Business Location
960 JOHNSON FERRY RD NE
SUITE 410
ATLANTA GA, 30342-1631, US
Phone (404) 256-3788
Fax (404) 847-9613
Toxanomy
Taxonomy Code 207RA0201X
License State Georgia
License Number 29755
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According to our database, Dr. Jack Benson Potter MD NPI is 1073666087, taxonomy code is 207RA0201X and license number is 29755, license state is located at Georgia. Jack Benson Potter MD physically located at 960 Johnson Ferry Rd Ne, Atlanta GA, 30342-1631. NPI Number Jack Benson Potter MD has the Individual type.

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1073666087 NPI number is provided on an as is basis without warranty of any kind. 1073666087 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Benson Potter MD are for informational purposes only.