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Individual
BEN EDGAR COTTRELL
Active
Individual
BEN EDGAR COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35175
TN
207Q00000X
Family Medicine Physician
35175
TN
208M00000X
Hospitalist Physician
35175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3862460
—
TN
05
—
3862466
—
TN
01
—
4144771
BLUE CROSS
TN
01
—
TN0109
AMERICHOICE
TN
Enumeration date
05/25/2006
Last updated
07/06/2016
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