Jerry Lynn Potts
Allergist & Immunologist Otolaryngologist (ENT Doctor) Allergist
1408 W 43rd Ave
Pine Bluff
, Arkansas 71603-7010
Jerry Lynn Potts
Allergist & Immunologist Otolaryngologist (ENT Doctor) Allergist
1408 W 43rd Ave
Pine Bluff
, Arkansas 71603-7010
(870) 536-1963
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Jerry Lynn Potts
- 1408 W 43rd Ave
- Pine Bluff, AR
- Zip : 71603-7010
- Fax : (870) 536-1963
- Phone : (870) 535-5719
Second Address
- Jerry Lynn Potts
- 1408 W 43rd Ave
- Pine Bluff, AR
- Zip : 71603-7010
- Fax : (870) 536-1963
- Phone : (870) 535-5719
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | C4520 | AR |
| N | 207KA0200X | Allergist | C4520 | AR |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | C4520 | AR |
National Provider Identifier
| NPI | 1447226477 |
|---|---|
| Provider Name | Jerry Lynn Potts |
| First Address | Pine Bluff, AR 71603-7010 |
| Second Address | Pine Bluff, AR 71603-7010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2006 |
| Last Update Date | 21/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104787001 | (05) | AR |
| 54134 | ARKANSAS BLUE CROSS BLUE SHIELD (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.