Individual
GERTRUDE PO COTIAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 BOILING SPRINGS RD STE A, BOILING SPRINGS, SC 29316-5304
(864) 599-0731
(864) 599-0791
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-06-7352-C
OH
207Q00000X
Family Medicine Physician
Primary
39086
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182043
—
OH
Enumeration date
11/14/2005
Last updated
07/21/2022
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