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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