Individual
MR. RUSSELL E COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7 WESTERN BYP, CLAYTON, AL 36016-2013
(334) 775-3235
(334) 775-8067
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631802047
—
AL
01
—
PA237
STATE LICENSE
AL
Enumeration date
10/18/2005
Last updated
06/14/2022
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