Cottrell, Amy

Cottrell, Amy is an individual health care provider with primary practice located at 110 Executive Park Dr , Clinton TN 37716-6876. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cottrell, Amy can be contacted via phone (865) 494-9247.

Contact Information

Primary practice address
110 Executive Park Dr Clinton TN 37716-6876
Phone: (865) 494-9247
Fax: (865) 494-0895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E5552 Arkansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45146 Tennessee

Profile Details

NPI number 1760503734
LBN Legal business name Cottrell, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 20th, 2012 - about 13 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 1760503734 NPPES
Tennessee MEDICAID 1514803

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