COTTLE MEDICAL GROUP PA NPI 1225133408

NPI Information

NPI: 1225133408
Provider Name: COTTLE MEDICAL GROUP PA

Doing Business As: ELIZABETHTOWN FAMILY PHYSICIAN

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
103 S OWEN STREET
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-2900
Get Directions

COTTLE MEDICAL GROUP PA is a family medicine in Elizabethtown, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COTTLE MEDICAL GROUP PA NPI is 1225133408. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elizabethtown Family Physician.

The provider's business location address is:

103 S OWEN STREET
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-2900
Fax: (910) 862-2982

The provider's authorized official is Ronald Wade Cottle .
The authorized official title is President and has the following contact phone number (910) 862-2900.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 4/5/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		30015	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017XT	OTHER	NORTH CAROLINA	BCBS OF NC
2	C82067	MEDICARE UPIN
3	7924670	MEDICAID	NORTH CAROLINA
4	2334952	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

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: 5/5/2024

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