Town and Country Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

029364 Issued in GA

Legal business name

TOWN AND COUNTRY DERMATOLOGY

Practice address

2470 Daniels Bridge Rd
Suite 261
Athens, GA 30606-6187

Phone

(706) 353-4570

Fax

(706) 353-4036

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bette C. Potter, M.D.NPI 1487779492

Title

Owner

Phone

(678) 832-2009

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bette C Potter, M.D.

  • Dermatology Physician
  • Augusta, GA
  • NPI 1487779492
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1720105315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 DANIELS BRIDGE RD",
            "address_2": "SUITE 261",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066187",
            "telephone_number": "706-353-4570",
            "fax_number": "706-353-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELS BRIDGE RD",
            "address_2": "SUITE 261",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066187",
            "telephone_number": "706-353-4570",
            "fax_number": "706-353-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN AND COUNTRY DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-832-2009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "029364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.