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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164466082 | NPPES |
Mississippi | MEDICAID | 00123944 |
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