Potts, Samuel Ernest

Potts, Samuel Ernest is an sole proprietor health care provider with primary practice located at 340 Medical Pkwy Ste 250 , Greer SC 29650-2441. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Potts, Samuel Ernest can be contacted via phone (864) 797-9480.

Contact Information

Primary practice address
340 Medical Pkwy Ste 250 Greer SC 29650-2441
Phone: (864) 797-9480
Fax: (864) 797-9482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004684 Illinois
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 016004684 Illinois
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016004684 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 766 South Carolina

Profile Details

NPI number 1326058447
LBN Legal business name Potts, Samuel Ernest
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated May 6th, 2024 - about last year

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 1326058447 NPPES
Illinois Other 5805819 BLUE CROSS BLUE SHIELD
Illinois Other 230121 BLUE CROSS BLUE SHIELD
Illinois Other 480014432 BLUE CROSS BLUE SHIELD

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