Healthcare Provider Details

I. General information

NPI: 1518125285
Provider Name (Legal Business Name): MICHAEL POTTS MD & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12-13 BEESTON HILL MED CT CHRISTIANSTED
ST CROIX VI
00820
US

IV. Provider business mailing address

PO BOX 639
KINGSHILL VI
00851-0639
US

V. Phone/Fax

Practice location:
  • Phone: 340-778-1800
  • Fax: 340-778-8484
Mailing address:
  • Phone: 340-778-1800
  • Fax: 340-778-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL P POTTS
Title or Position: OWNER
Credential: MD
Phone: 340-778-1800