Jerry Lynn Potts is a Allergy in Pine Bluff, Arkansas. Jerry Lynn Potts practices all healthcare services and medical treatments related to Allergy. The NPI Number for Jerry Lynn Potts is 1447226477. The last update date is 2008-08-21.
Jerry Lynn Potts's current location address is 1408 W 43rd Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705355719 and fax number 8705361963. The mailing address for Jerry Lynn Potts is 1408 W 43rd Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lynn Potts |
|---|---|
| Address | 1408 W 43rd Ave, Pine Bluff, Arkansas |
| Phone Number | 8705355719 |
| Fax Number | 8705361963 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447226477 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 1408 W 43rd Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037010 |
| Phone Number | 8705355719 |
| Fax Number | 8705361963 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | C4520 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54134 | AR | ARKANSAS BLUE CROSS BLUE SHIEL | |
| 104787001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Lynn Potts by the Centers for Medicare & Medicaid Services?
The Jerry Lynn Potts has been issued the NPI (National Provider Identifier) 1447226477, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerry Lynn Potts's facilities are situated?
The facilities of Jerry Lynn Potts are physically located at the following address: 1408 W 43Rd Ave, Pine Bluff, AR, 716037010.
What is Jerry Lynn Potts's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Lynn Potts is Allergy, and the corresponding taxonomy classification code for this specialized field is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447226477 to Jerry Lynn Potts?
The Jerry Lynn Potts received its 1447226477 assignment from the Centers for Medicare & Medicaid Services on 2006-02-28.
As of what date were the details related to Jerry Lynn Potts most recently updated or revised?
The information pertaining to Jerry Lynn Potts, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-21.