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COTTON ANCILLARY SERVICES LLC NPI 1194737809


NPI Information

NPI: 1194737809
Provider Name: COTTON ANCILLARY SERVICES, LLC

Former Legal Business Name: BRENTWOOD ANCILLARY SERVICES, LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2862 JOHNSON FERRY RD
SUITE 200
MARIETTA, GA
ZIP 30062
Phone: (770) 650-6672
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COTTON ANCILLARY SERVICES, LLC is a durable medical equipment medical supplies in Marietta, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COTTON ANCILLARY SERVICES, LLC NPI is 1194737809. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Brentwood Ancillary Services, Llc.

The provider's business location address is:

2862 JOHNSON FERRY RD
SUITE 200
MARIETTA, GA
ZIP 30062-342
Phone: (770) 650-6672
Fax: (770) 650-6682

The provider's authorized official is M. Scott Hardin .
The authorized official title is President and has the following contact phone number (770) 650-6672.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 2/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000904879AMEDICAIDGEORGIA
2=========001MEDICAIDILLINOIS
34582219MEDICAIDTENNESSEE
4200803670MEDICAIDINDIANA
54037810001MEDICARE NSC
6009913998MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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