Cotten, Vernon Reid

Cotten, Vernon Reid is an individual health care provider with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cotten, Vernon Reid can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Suite 61 Jackson MS 39216-4635
Phone: (601) 982-7850
Fax: (601) 718-5145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15875 Mississippi

Profile Details

NPI number 1164466082
LBN Legal business name Cotten, Vernon Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164466082 NPPES
Mississippi MEDICAID 00123944

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