Individual provider · Type 1 NPI

Stacy L. Potter

Surgical Assistant · Fayetteville, GA

NPI number 1033097597 Active

Practice location

529 Lester Rd
Fayetteville, GA 30215-5248

Fax (404) 425-3780

Mailing address

1336 Highway 54 W
Fayetteville, GA 30214-4573

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1033097597

Stacy L. Potter's National Provider Identifier is 1033097597, issued on Aug 23, 2025. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 23, 2025.