Healthcare Provider Details

I. General information

NPI: 1891881223
Provider Name (Legal Business Name): KARLA J WOTTGE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 COOL SPRING BLVD EVICORE BY EVERNORTH SUITE 800
FRANKLIN TN
37067
US

IV. Provider business mailing address

730 COOL SPRING BLVD EVICORE BY EVERNORTH SUITE 800
FRANKLIN TN
37067
US

V. Phone/Fax

Practice location:
  • Phone: 800-918-8924
  • Fax:
Mailing address:
  • Phone: 800-918-8924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD025292
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD25292
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: