Jack Benson Potter in Atlanta - Allergy & Immunology
Jack Benson Potter - NPI 1073666087
Jack Benson Potter is a Allergy & Immunology in Atlanta, Georgia. Jack Benson Potter practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Jack Benson Potter is 1073666087. The last update date is 2007-07-08.
Jack Benson Potter's current location address is 960 Johnson Ferry Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4042563788 and fax number 4048479613. The mailing address for Jack Benson Potter is 960 Johnson Ferry Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Benson Potter |
|---|---|
| Address | 960 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Phone Number | 4042563788 |
| Fax Number | 4048479613 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073666087 |
|---|---|
| Provider Enumeration Date | 2007-01-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 960 Johnson Ferry Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303421631 |
| Phone Number | 4042563788 |
| Fax Number | 4048479613 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207Ra0201X |
| Licence No | 29755 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack Benson Potter by the Centers for Medicare & Medicaid Services?
The Jack Benson Potter has been assigned the NPI (National Provider Identifier) 1073666087 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Benson Potter's facilities are situated?
The facilities of Jack Benson Potter are physically located at the following address: 960 Johnson Ferry Rd Ne, Atlanta, GA, 303421631.
What is Jack Benson Potter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Benson Potter is Allergy & Immunology, and the taxonomy code that classifies this field of practice is 207Ra0201X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073666087 to Jack Benson Potter?
The Centers for Medicare & Medicaid Services assigned the 1073666087 to Jack Benson Potter on 2007-01-21.
As of what date were the details related to Jack Benson Potter most recently updated or revised?
The information pertaining to Jack Benson Potter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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