NPI | 1225535511 |
---|---|
Former Name | DEBORAH PEYTON POTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13530) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07942) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2020-07-14 |