Organization
COZART & ASSOCIATES PLLC, WILEY SIMEON COZART III SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILEY SIMEON COZART III (OWNER)
(828) 884-4433
Entity
Organization
Contact information
Practice address
344 GALLIMORE ROAD, BREVARD, NC 28712-8874
(828) 884-4433
(828) 884-7875
Mailing address
344 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-4433
(828) 884-7875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7991840
—
NC
Enumeration date
02/07/2011
Last updated
02/07/2011
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