Individual
MALCOLM LOWELL COTHRAN JR.
Active
Individual
MALCOLM LOWELL COTHRAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01010263136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006060722
—
VA
05
—
010206723
—
VA
01
—
060070
ANTHEM
VA
01
—
110047630
RAILROAD MEDICARE
VA
01
—
144811
SOUTHREN HEALTH SERVICES
VA
01
—
B4313
RAILROAD MEDICARE
VA
01
—
C00287
MEDICARE
VA
Enumeration date
09/19/2005
Last updated
05/06/2008
Update your record
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