Individual
DR. JASON WILLIAM COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BAYLOR DR, SUITE 290, BLUFFTON, SC 29910-8965
(843) 705-8919
(843) 705-7024
Mailing address
75 BAYLOR DR, SUITE 290, BLUFFTON, SC 29910-8965
(843) 705-8919
(843) 705-7024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200300326
NC
208600000X
Surgery Physician
Primary
TL31669
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316697
—
SC
05
—
89134Y8
—
NC
Enumeration date
04/11/2006
Last updated
07/16/2014
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