Individual
ELLOUISE M. COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 206-8460
(205) 206-8380
Mailing address
PO BOX 12366, BIRMINGHAM, AL 35202-2366
(205) 780-7101
(205) 206-8338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21710
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008534
—
AL
01
—
510-08534
BCBS OF AL
AL
Enumeration date
09/03/2006
Last updated
11/18/2009
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