Charles R. Potter, M.D., L.L.C. in Decatur - Otolaryngology
Charles R. Potter, M.D., L.L.C. - NPI 1538254727
Charles R. Potter, M.D., L.L.C. is a Otolaryngology in Decatur, Illinois. Charles R. Potter, M.D., L.L.C. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Charles R. Potter, M.D., L.L.C. is 1538254727. The last update date is 2008-06-19.
Charles R. Potter, M.D., L.L.C.'s current location address is 1770 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174221199 and fax number 2174221277. The mailing address for Charles R. Potter, M.D., L.L.C. is 1770 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles R. Potter, M.D., L.L.C. |
|---|---|
| Address | 1770 E Lake Shore Dr, Decatur, Illinois |
| Phone Number | 2174221199 |
| Fax Number | 2174221277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Potter R Charles |
| Credentials | M.D. |
| Telephone Number | 2174221199 |
NPI Number Detail
| NPI Number | 1538254727 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1770 E Lake Shore Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213832 |
| Phone Number | 2174221199 |
| Fax Number | 2174221277 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 036-065056 |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
What is the unique identifier code issued to Charles R. Potter, M.D., L.L.C. by the Centers for Medicare & Medicaid Services?
The Charles R. Potter, M.D., L.L.C. has been assigned the NPI (National Provider Identifier) 1538254727. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles R. Potter, M.D., L.L.C. is physically located?
The Charles R. Potter, M.D., L.L.C. is physically situated at the following address: 1770 E Lake Shore Dr, Decatur, IL, 625213832.
What is the Charles R. Potter, M.D., L.L.C.'s specialty and taxonomy code?
The Charles R. Potter, M.D., L.L.C.'s specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538254727 to Charles R. Potter, M.D., L.L.C.?
The Centers for Medicare & Medicaid Services originally issued the 1538254727 to Charles R. Potter, M.D., L.L.C. on 2006-10-04.
When was the information pertaining to Charles R. Potter, M.D., L.L.C. most recently updated or revised?
The details related to Charles R. Potter, M.D., L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-06-19.
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