Potter, Nathan Lee
Potter, Nathan Lee is an individual health care provider with primary practice located at 4017 Northlake Creek Dr , Tucker GA 30084-3423. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Potter, Nathan Lee can be contacted via phone (317) 501-9558.Contact Information
Primary practice address
4017 Northlake Creek Dr
Tucker GA 30084-3423
Phone: (317) 501-9558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 007517 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7517 | Georgia |
Profile Details
| NPI number | 1073904181 |
|---|---|
| LBN Legal business name | Potter, Nathan Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2015 |
| Last updated | Jun 10th, 2024 - about 2 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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