Elizabethtown Family Physician

LBN: Cottle Medical Group Pa
Elizabethtown Family Physician is an health care organization with primary practice located at 103 S Owen Street , Elizabethtown NC 28337. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cottle Medical Group Pa can be contacted via phone (910) 862-2900, or through Cottle, Ronald Wade via phone (910) 862-2900.

Contact Information

Primary practice address
103 S Owen Street Elizabethtown NC 28337
Phone: (910) 862-2900
Fax: (910) 862-2982
Website:
Map and Directions
Authorized official contact:
Name: Cottle, Ronald Wade Doctor of Medicine (MD)
Phone: (910) 862-2900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30015 North Carolina

Profile Details

NPI number 1225133408
LBN Legal business name Cottle Medical Group Pa
DBA Doing business as Elizabethtown Family Physician
Authorized official Cottle, Ronald Wade Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Apr 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225133408 NPPES
North Carolina MEDICAID 7924670
North Carolina Other 017XT

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