Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | L00000-45 | MD |
NPI | 1013392745 |
---|---|
Provider Name | Dr. Linda Potts |
First Address | Smithsburg, MD 21783-1604 |
Second Address | Smithsburg, MD 21783-1604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2015 |
Last Update Date | 23/07/2015 |