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Contact Information

SAMUEL E POTTS, DPM
340 MEDICAL PKWY STE 250
GREER, SC29650-2441
 Phone: 864-797-9480
 Fax: 864-797-9482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SAMUEL E POTTS · (Male)

NPI Number 1326058447
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/09/2006
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004684
  • SC License # 766
  • Other 230121 HEALTHLINK
  • Other 480014432 PALMETTA GBA-RR MEDICARE
  • IL Other 5805819 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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