MEDICARE: DAVID T COZART MD, FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	26645	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020025948	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4674488	OTHER	TN	AETNA
3	3031352	OTHER	TN	BLUE CROSS OF TN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275538498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID T COZART MD, FACS

Provider Business Mailing Address
First Line	:	1120 S JACKSON HWY STE 203
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5770
Country	:	US
Telephone Number	:	256-314-6947
Fax Number	:	256-314-6902

Provider Business Practice Location Address
First Line	:	1120 S JACKSON HWY STE 203
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5770
Country	:	US
Telephone Number	:	256-314-6947
Fax Number	:	256-314-6902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/01/2019

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Directions to “ DAVID T COZART MD, FACS” Practice Location

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