Organization
COTA MEDICAL MANAGEMENT
Active
Other names
Clinica de la Mama
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO COTA (CEO)
(770) 778-4069
Entity
Organization
Contact information
Practice address
5050 JIMMY CARTER BLVD, SUITE 250, NORCROSS, GA 30093-2711
(770) 613-0670
Mailing address
5050 JIMMY CARTER BLVD, SUITE 250, NORCROSS, GA 30093-2711
(770) 613-0670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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