Individual
MICHAEL COHRON TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 HOSPITAL ST, GREENVILLE, MS 38703-3225
(662) 335-6703
(662) 335-6705
Mailing address
PO BOX 4739, GREENVILLE, MS 38704-4739
(662) 725-2749
(662) 725-2741
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
07481R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978477
—
LA
01
—
P00214993
RR MEDICARE
LA
Enumeration date
07/05/2005
Last updated
05/25/2010
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