Individual
DR. DEBORAH JENNINGS COTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 407, CHARLESTON, WV 25304-1223
(304) 388-4657
(304) 388-4656
Mailing address
3100 MACCORKLE AVE SE, STE 406, CHARLESTON, WV 25304-1230
(304) 342-8878
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2192
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013144
—
WV
Enumeration date
04/24/2007
Last updated
05/12/2017
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