MEDICARE: DR. BYRON C COTTON MD, FAAP

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	2080A0000X	Pediatric Adolescent Medicine Physician	041098	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619927878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BYRON C COTTON MD, FAAP

Provider Business Mailing Address
First Line	:	2785 LAWRENCEVILLE HWY
Second Line	:	SUITE 207
City	:	DECATUR
State	:	GA
Zip	:	30033-2515
Country	:	US
Telephone Number	:	770-621-0245
Fax Number	:

Provider Business Practice Location Address
First Line	:	2785 LAWRENCEVILLE HWY
Second Line	:	STE 207
City	:	DECATUR
State	:	GA
Zip	:	30033-2515
Country	:	US
Telephone Number	:	770-621-0245
Fax Number	:	770-621-0819

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	06/20/2011

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