Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 243207-1 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | MD459185 | PA |
N | 207VX0000X | Obstetrician | 63330 | GA |
NPI | 1154540193 |
---|---|
Provider Name | Dr. Potacia Wynette Francis |
First Address | Harrisburg, PA 17104-1123 |
Second Address | Harrisburg, PA 17104-1123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 10/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1031442770003 | (05) | PA |
1285943571 | GROUP NPI # (01) | GA |
207VX0000X | TAXONIMY (01) | |
63330 | LICENSE (01) | GA |
MD459185 | LICENSE (01) | PA |