J T Potter Jr Md Pc
Pediatric Adolescent Medicine
J T Potter Jr Md Pc is a Norton, Virginia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
611 Trent St Ne, Suite A, Norton, Virginia - 24273. They can be contacted on phone at
276-679-0800.
NPI number (Unique professional ID) for J T Potter Jr Md Pc is
1841216496 which was assigned by NPPES on 15 Jul, 2006 and it was last updated on 23 Dec, 2019.
J T Potter Jr Md Pc license number is
0101232468 for Pediatrics Adolescent Medicine (2080A0000X) in Virginia.
J T Potter Jr Md Pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
J T Potter Jr Md Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | J T Potter Jr Md Pc |
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Business Address:
J T Potter Jr Md Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 Trent St Ne, Suite A
Norton, VA, 24273
United States |
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| Phone Number : | 276-679-0800 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841216496 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Jul, 2006 |
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| Last Updated On : | 23 Dec, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jamesthomas Potter |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CEO |
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| Phone Number : | 276-679-0800 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for J T Potter Jr Md Pc are as mentioned. Primary taxonomy code for J T Potter Jr Md Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 0101232468 | VA |
Legacy Identifiers:
Other legacy medical identifiers of J T Potter Jr Md Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 010002761 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 159 Ridgefield Rd Sw
Wise, VA, 24293-5607
United States |
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| Phone Number : | 276-679-0800 |
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| Fax Number : | 276-679-0097 |
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Business Location:
Patients can refer following map for directions to
J T Potter Jr Md Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.