Pottinger, Carlos Alberto

Pottinger, Carlos Alberto is an individual health care provider with primary practice located at 2206 Wilborn Ave Bldg 1 , South Boston VA 24592-1630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pottinger, Carlos Alberto can be contacted via phone (434) 517-8627.

Contact Information

Primary practice address
2206 Wilborn Ave Bldg 1 South Boston VA 24592-1630
Phone: (434) 517-8627
Fax: (434) 517-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME103639 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101262030 Virginia

Profile Details

NPI number 1750524690
LBN Legal business name Pottinger, Carlos Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Apr 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750524690 NPPES
Florida MEDICAID 253359600

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