Organization
COTTON ANCILLARY SERVICES, LLC
Active
Organization
COTTON ANCILLARY SERVICES, LLC
Active
Other names
Brentwood Ancillary Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M. SCOTT HARDIN II (PRESIDENT)
(770) 650-6672
Entity
Organization
Contact information
Practice address
2862 JOHNSON FERRY RD, SUITE 200, MARIETTA, GA 30062-8342
(770) 650-6672
(770) 650-6682
Mailing address
2862 JOHNSON FERRY RD, SUITE 200, MARIETTA, GA 30062-8342
(770) 650-6672
(770) 650-6682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000904879A
—
GA
05
—
009913998
—
AL
05
—
200803670
—
IN
05
—
4582219
—
TN
Enumeration date
08/12/2006
Last updated
02/08/2010
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