Provider Demographics
NPI:1891991626
Name:MARCUS POTTER, JAMILA B (MD)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:B
Last Name:MARCUS POTTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12301 OLD COLUMBIA PIKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1656
Mailing Address - Country:US
Mailing Address - Phone:301-625-2800
Mailing Address - Fax:301-625-9046
Practice Address - Street 1:12301 OLD COLUMBIA PIKE
Practice Address - Street 2:SUITE 300
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1656
Practice Address - Country:US
Practice Address - Phone:301-625-2800
Practice Address - Fax:301-625-9046
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254532208000000X
DCMD037439208000000X
MDD0081460208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics