Individual
GREGORY WILLIAM COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN STE 500, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 767-1335
Mailing address
4950 ESSEN LN STE 500, BATON ROUGE, LA 70809-3738
(225) 215-1142
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
11773
SC
2085R0001X
Radiation Oncology Physician
15829
MS
2085R0001X
Radiation Oncology Physician
Primary
308265
LA
2085R0001X
Radiation Oncology Physician
47775
TN
2085R0001X
Radiation Oncology Physician
9773
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016332
—
AL
05
—
00011136
—
MS
05
—
1528979
—
TN
01
—
4334897
BCBS TN
TN
01
—
920002053
RR MEDICARE
AL
01
—
P01073107
RR MEDICARE
TN
01
—
P01134118
RR MEDICARE
MS
Enumeration date
08/22/2005
Last updated
02/06/2024
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