Potter, Kim
Potter, Kim is an sole proprietor health care provider with primary practice located at 131 W Taylor St , Griffin GA 30223-3046. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Potter, Kim can be contacted via phone (770) 227-2428.Contact Information
Primary practice address
131 W Taylor St
Griffin GA 30223-3046
Phone: (770) 227-2428
Fax: (770) 227-3275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH018682 | Georgia |
Profile Details
| NPI number | 1124100664 |
|---|---|
| LBN Legal business name | Potter, Kim |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124100664 | NPPES |
| Florida | Other | RPH018682 | STATE LIC. |
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