Individual
DR. AMY COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 EXECUTIVE PARK DR, CLINTON, TN 37716-6876
(865) 494-9247
(865) 494-0895
Mailing address
110 EXECUTIVE PARK DR, CLINTON, TN 37716-6876
(865) 494-9247
(865) 494-0895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45146
TN
207Q00000X
Family Medicine Physician
E5552
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514803
—
TN
Enumeration date
04/03/2007
Last updated
08/20/2012
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