| Doctor Name: | GREG LELAND POTTER |
| NPI Number: | 1326105669 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0102201361 |
| Business Practice Address: | 46 Wesley Rd Daleville, VA - 240833082 |
| Business Phone Number: | 5405919440 |
| Business Fax Number: | 5409662719 |
| Mailing Address: | 46 Wesley Rd, DALEVILLE |
| State: | VA |
| Postal Code: | 240833082 |
| Phone Number: | 5405919440 |
| Fax Number: | 5409662719 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PE0004X |
| License Number: | 0102201361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Emergency Medical Services |
| Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |