Provider Demographics
NPI:1922481290
Name:COTTRELL, MD, MARTHA CLAYTON (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:CLAYTON
Last Name:COTTRELL, MD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 RIVER KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2837
Mailing Address - Country:US
Mailing Address - Phone:828-545-5515
Mailing Address - Fax:
Practice Address - Street 1:11 RIVER KNOLL DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2837
Practice Address - Country:US
Practice Address - Phone:828-545-5515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator