MRS. AIKATERINE SOFIA POTTINGER


Address: 4166 Buford Hwy Ne, Atlanta, GA 30345-1081
Phone: 4047858160

MRS. AIKATERINE SOFIA POTTINGER (NPI# 1811241854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811241854
Entity Type Individual
Full Name MRS. AIKATERINE SOFIA POTTINGER
Credential NP-C
Practice Address 4166 Buford Hwy Ne
Atlanta
GA 30345-1081
Practice Telephone 4047858160
Mailing Telephone 4047858160
Enumeration Date 2012-10-30
Last Update Date 2012-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN192200 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA TAX ID 58-2201217 01

Office Location

Street Address 4166 BUFORD HWY NE
City ATLANTA
State GA
Zip Code 30345-1081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689625592 Jose A Rios Pediatrics 4166 Buford Hwy Ne, Ste 1102, Atlanta, GA 30345-1081 2006-05-15
1043679913 Andrea Isamar Avila Nurse Practitioner 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 2016-02-19
1881084879 Primary Care At Childrens, LLC Pediatrics 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 2015-01-28
1679845739 Mary R Coello Optometrist 4166 Buford Hwy Ne, Plaza Fiesta Mall Suite S6-t5, Atlanta, GA 30345-1081 2012-02-06
1306074406 Imelda Reyes Nurse Practitioner 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 2009-06-26
1780844365 Optica Familiar Corp Optometrist 4166 Buford Hwy Ne, Ste R6 ; Mb I 10, Atlanta, GA 30345-1081 2008-06-17
1194919100 Maria Isabel Rosso Pediatrics 4166 Buford Hwy Ne, Suite 1102, Atlanta, GA 30345-1081 2007-09-03
1053352161 Christopher Lee Hoskin Optometrist 4166 Buford Hwy Ne, Suite R6 ; Mb I - 10, Atlanta, GA 30345-1081 2006-06-09

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ATLANTA
Zip Code 30345

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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