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Individual

DR. KOSI JAMES AVOTRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174
Mailing address
12701 PADGETT SWITCH RD, IRVINGTON, AL 36544-4011
(251) 824-2174

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22397
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167989
AL
05
200280
AL
01
511-92411
BCBS
AL
Enumeration date
05/09/2006
Last updated
04/23/2026
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