Provider Demographics
NPI:1669438958
Name:COTHRAN, DONNA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LOUISE
Last Name:COTHRAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1350 WALTON WAY
Mailing Address - Street 2:NICU UNIVERSITY HOSPITAL
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2629
Mailing Address - Country:US
Mailing Address - Phone:706-724-2791
Mailing Address - Fax:706-774-8712
Practice Address - Street 1:1350 WALTON WAY
Practice Address - Street 2:NICU UNIVERSITY HOSPITAL
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2629
Practice Address - Country:US
Practice Address - Phone:706-724-2791
Practice Address - Fax:706-774-8712
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-13
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Provider Licenses
StateLicense IDTaxonomies
VA01010482032080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine