IndividualActive
Jack Potter, MD
NPI 1073666087 · Allergy & Immunology (Internal Medicine) Physician · Atlanta, GA
Provider details
- NPI number
- 1073666087
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29755 (GA)
Practice location
960 Johnson Ferry Rd Ne
Suite 410
Atlanta, GA 30342-1631
Phone: (404) 256-3788
Fax: (404) 847-9613
Mailing address
960 Johnson Ferry Rd Ne
Atlanta, GA 30342-1631
Registry dates
- Enumerated
- 2007-01-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.