Individual
DAVID M COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
103 AMBERLEIGH DR SE, WHITE, GA 30184-3547
(678) 977-7538
Mailing address
103 AMBERLEIGH DR SE, WHITE, GA 30184-3547
(678) 977-7538
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0040369
GA
363A00000X
Physician Assistant
Primary
4036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511I970319
MEDICARE PTAN
GA
Enumeration date
09/22/2006
Last updated
09/25/2023
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