Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 200000201 | NC |
NPI | 1316943335 |
---|---|
Provider Name | Dr. Michael Alan Cotton |
First Address | Hickory, NC 28601-2239 |
Second Address | Hickory, NC 28601-5046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 16/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8912903 | (05) | NC |
H26624 | (02) | NC |