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NPI Code Detail

MEDICARE: MRS. ASHLEIGH POTTER APRN

MEDICARE: MRS. ASHLEIGH POTTER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner23782SC
2363LF0000XFamily Nurse PractitionerRN297123GA
3363L00000XNurse PractitionerRN297123GA

General Provider Information

NPI Number : 1730716689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEIGH POTTER APRN
Provider Business Mailing Address
First Line : SC HOUSE CALLS INC
Second Line : 111 DOCTORS CIRCLE
City : COLUMBIA
State : SC
Zip : 29203
Country : US
Telephone Number : 800-491-0909
Fax Number :
Provider Business Practice Location Address
First Line : 3486 PEACH ORCHARD RD STE 200
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-5215
Country : US
Telephone Number : 706-828-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 12/31/2024

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Directions to “ MRS. ASHLEIGH POTTER APRN” Practice Location

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