Poteat, Tony Samuel

Poteat, Tony Samuel is an individual health care provider with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Poteat, Tony Samuel can be contacted via phone (864) 242-4683.

Contact Information

Primary practice address
1025 Verdae Blvd Suite A Greenville SC 29607-4032
Phone: (864) 242-4683
Fax: (864) 240-8104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20978 South Carolina

Profile Details

NPI number 1821073875
LBN Legal business name Poteat, Tony Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821073875 NPPES
South Carolina Other 110186538 RR MEDICARE
South Carolina MEDICAID T51217 RR MEDICARE

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