Doctor Name: | MARGARET MACKEY POTTS |
NPI Number: | 1851397194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0024161396 |
Business Practice Address: | 312 Kings Hwy Keysville, VA - 239474540 |
Business Phone Number: | 4347368801 |
Business Fax Number: | 4347360292 |
Mailing Address: | Po Box 360, KEYSVILLE |
State: | VA |
Postal Code: | 239470360 |
Phone Number: | 4347368801 |
Fax Number: | 4347360292 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024161396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |