Stephanie Potkay, | |
5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 | |
(336) 674-2252 | |
Not Available |
Full Name | Stephanie Potkay |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5229 Appomattox Rd, Pleasant Garden, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114436821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12346 (North Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104823400 PECOS PAC ID: 2163339722 Enrollment ID: O20170118000750 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Potkay, 2 Top Ridge Ct, Greensboro, NC 27407-5110 Ph: () - | Stephanie Potkay, 5229 Appomattox Rd, Pleasant Garden, NC 27313-8202 Ph: (336) 674-2252 |
Mr. Kevin Terence Cunningham, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4558 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-674-2253 | |
Mrs. Whitney Hancock Gauldin, M. ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5229 Appomattox Rd, Pleasant Garden, NC 27313 Phone: 336-674-2252 | |
Mrs. April Keaton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5229 Appomattox Rd, Pleasant Garden, NC 27313 Phone: 336-674-2252 |