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1043894454
PAUL JOSEPH POTTANAT
CHARLESTON, SC
NPI
1043894454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
PAUL JOSEPH POTTANAT MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-2716
Phone number: 843-792-3072
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Mailing Address
PAUL JOSEPH POTTANAT MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-2716
Phone number: 843-792-3072
Copy
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