Individual
MR. DAVID ENOCH COTHRAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP-BC
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1118
Mailing address
3600 DIXON RD, ANDERSON, SC 29625-4935
(864) 202-1394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21727
SC
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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