PAUL JOSEPH POTTANAT

CHARLESTON, SC
NPI1043894454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
PAUL JOSEPH POTTANAT MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-2716
Phone number: 843-792-3072
Mailing Address
PAUL JOSEPH POTTANAT MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-2716
Phone number: 843-792-3072