Provider Demographics
NPI:1013392745
Name:POTTS, LINDA (ND,DCRC,RN,MBA,MBE)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:POTTS
Suffix:
Gender:F
Credentials:ND,DCRC,RN,MBA,MBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:SMITHSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21783-1604
Mailing Address - Country:US
Mailing Address - Phone:301-824-4325
Mailing Address - Fax:301-824-4300
Practice Address - Street 1:38 E WATER ST
Practice Address - Street 2:
Practice Address - City:SMITHSBURG
Practice Address - State:MD
Practice Address - Zip Code:21783-1604
Practice Address - Country:US
Practice Address - Phone:301-824-4325
Practice Address - Fax:301-824-4300
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL00000-45175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath