| Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc | |
|
365 N Jeff Davis Dr Fayetteville GA 30214-1627 | |
| (770) 461-5003 | |
| Not Available |
| Full Name | Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 365 N Jeff Davis Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Deborah Staats (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7704615003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc 365 N Jeff Davis Dr Fayetteville GA 30214-1627 Ph: (770) 461-5003 | Potts Pediatrics And Adolescent Medicine And Prevenatative Care Llc 365 N Jeff Davis Dr Fayetteville GA 30214-1627 Ph: (770) 461-5003 |
| NPI Number | 1740501246 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740501246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17642 (Georgia) | Primary |
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