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Individual

DR. OTIS COSBY JR.

Active
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Individual

DR. OTIS COSBY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
2020-03013
NC
2083X0100X
Occupational Medicine Physician
36492
SC
2083X0100X
Occupational Medicine Physician
MD021929
TN

Other

Enumeration date
06/20/2012
Last updated
04/01/2022
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