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NPI Number Detailed Information

     
Provider Information:    
  Name: Aaron Rodney Cotten
  Gender: M
  Provider License Number If Given: 9500330
     
NPI Information:    
  NPI: 1134269020
  Entity Type (Individual or Organization): 1-ind
  Enumeration Date: 2/8/2007
  Last Update Date: 8/6/2015
     
Provider Business Mailing Address:    
  Address: 3661 SUNSET AVE SUITE 100
Rocky Mount, NC 27804
  Phone Number: 8445213343
  Fax Number:
     
Provider Business Practice Location Address:    
  Address: 3661 SUNSET AVE SUITE 100
Rocky Mount, NC 27804
  Phone Number: 8445213343
  Fax Number:
     
Provider Taxonomy:    
  Primary: 207P00000X
  Secondary (if any): 207Q00000X
  State: NC