Edger V Potter Jr MD INC
Internal Medicine in Fort Washington, MD. Organization (NPI-2).
NPI number1376735100
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1376735100
- Entity type
- Organization (NPI-2)
- Legal business name
- Edger V Potter Jr MD INC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2007
- Last updated
- Sep 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD9565 | DC | Yes |
| 207QG0300X | Family Medicine, Geriatric Medicine | MD9565 | DC | |
| 207RR0500X | Internal Medicine, Rheumatology | MD9565 | DC |
Practice location
12017 Fort Washington RdFort Washington, MD 20744-6004
Phone 301-203-9570 · Fax 301-203-1796
Mailing address
12017 Fort Washington RdFort Washington, MD 20744-6004
Phone 301-203-9570 · Fax 301-203-1796
Authorized official
Edger Verdan Potter
President
3012039570
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