Individual
DR. OTIS COSBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2555 COURT DR STE 120, GASTONIA, NC 28054-2177
(704) 834-3070
(704) 834-3073
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
2020-03013
NC
2083X0100X
Occupational Medicine Physician
36492
SC
2083X0100X
Occupational Medicine Physician
MD021929
TN
Other
Enumeration date
06/20/2012
Last updated
04/01/2022
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