Devon Potler-Jack

Anesthesiologist Assistant · Marietta, GA

Individual Active NPI

NPI number 1578180535

Practice location

677 Church St NE
Marietta, GA 30060-1101
Phone
(770) 793-5000

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NPI record

NPI
1578180535
Entity type
Individual (Type 1)
Enumeration date
June 25, 2020
Last updated
June 25, 2020
Certified
June 25, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X — —

Mailing address

982 Virginia Ave NE Apt 2
Atlanta, GA 30306-3608
Phone
(678) 994-6719

About Devon Potler-Jack

Devon Potler-Jack is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 677 Church St NE, Marietta, GA 30060-1101. The NPI number 1578180535 was assigned on June 25, 2020 and the record was last updated on June 25, 2020.

Frequently asked questions

What is the NPI number of Devon Potler-Jack?

The NPI number is 1578180535.

What is the phone number of Devon Potler-Jack?

The phone number listed for the practice location is (770) 793-5000.

Where is Devon Potler-Jack located?

677 Church St NE, Marietta, GA 30060-1101.

What is the taxonomy code for Devon Potler-Jack?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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