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NPI Code Detail

MEDICARE: DONELLE RAMONA JONES COTA

MEDICARE: DONELLE RAMONA JONES COTA
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
1305R00000XPreferred Provider Organization1879AL

General Provider Information

NPI Number : 1275701799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONELLE RAMONA JONES COTA
Provider Business Mailing Address
First Line : 1784 ELKAHATCHEE RD
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4800
Country : US
Telephone Number : 256-329-8561
Fax Number :
Provider Business Practice Location Address
First Line : 1784 ELKAHATCHEE RD
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4800
Country : US
Telephone Number : 256-329-8561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

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Directions to “ DONELLE RAMONA JONES COTA” Practice Location

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