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Benjamin Potter, DPM
Foot & Ankle Surgery Podiatrist in Kingsport, Tennessee
NPI 1063919793

Benjamin Potter is a Foot & Ankle Surgery Podiatrist based in Kingsport, TN and is specialized in Foot & Ankle Surgery. Benjamin Potter practices in Kingsport, TN and has the professional credentials of DPM. The NPI Number for Benjamin Potter is 1063919793 and holds a License No. 135.001005 (Tennessee).

The current practice location address for Benjamin Potter is 430 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-245-3161.

Location: 430 W Ravine Rd, Kingsport, TN, 37660-3868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063919793
Provider Name
Benjamin Potter
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
430 W Ravine Rd, Kingsport, TN, 37660-3868
Phone Number
423-245-3161
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
430 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3868
Phone Number
423-245-3161
Fax Number
person
Provider Business Mailing Address Details
Address
430 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3868
Phone Number
423-245-3161
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
135.001005 (Illinois)
Definition
Definition to come...
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