Provider Demographics
NPI:1033373964
Name:MARK E. COTNEY, D.C., P.C.
Entity Type:Organization
Organization Name:MARK E. COTNEY, D.C., P.C.
Other - Org Name:THOMASTON CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:COTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-647-2225
Mailing Address - Street 1:101 N GREEN ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3554
Mailing Address - Country:US
Mailing Address - Phone:706-647-2225
Mailing Address - Fax:706-648-2153
Practice Address - Street 1:101 N GREEN ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3554
Practice Address - Country:US
Practice Address - Phone:706-647-2225
Practice Address - Fax:706-648-2153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty