Organization
COTTAGE HILL PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT JAY BRAUN DPM (PRESIDENT)
(251) 304-0804
Entity
Organization
Contact information
Practice address
1371 MONTLIMAR DR, MOBILE, AL 36609-1645
(251) 304-0804
(251) 304-0806
Mailing address
1371 MONTLIMAR DR, MOBILE, AL 36609-1645
(251) 304-0804
(251) 304-0806
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0064
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70437
BLUE CROSS
AL
Enumeration date
11/30/2006
Last updated
01/18/2011
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