Timothy Virgil Potts JR. PA-C

NPI 1013289131 - Physician Assistant - 363A00000X

NPI Details
NPI 1013289131
Gender Male
Enumeration Date 02/05/2012
Last Updated 05/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
613 S MEMORIAL DR
GREENVILLE NC, 27834-2856, US
Phone (252) 413-0720
Fax (252) 413-0854
Business Location
613 S MEMORIAL DR
GREENVILLE NC, 27834-2856, US
Phone (252) 413-0720
Fax (252) 413-0854
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-03372
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According to our database, Mr. Timothy Virgil Potts JR. PA-C NPI is 1013289131, taxonomy code is 363A00000X and license number is 0010-03372, license state is located at North Carolina. Timothy Virgil Potts JR. PA-C physically located at 613 S Memorial Dr, Greenville NC, 27834-2856. NPI Number Timothy Virgil Potts JR. PA-C has the Individual type.

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1013289131 NPI number is provided on an as is basis without warranty of any kind. 1013289131 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Virgil Potts JR. PA-C are for informational purposes only.