Provider Demographics
NPI:1942302328
Name:COTE, DONALD N (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:N
Last Name:COTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 WELLBROOK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012
Mailing Address - Country:US
Mailing Address - Phone:770-922-5458
Mailing Address - Fax:770-922-0435
Practice Address - Street 1:1370 WELLBROOK CIR NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3872
Practice Address - Country:US
Practice Address - Phone:770-922-5458
Practice Address - Fax:770-922-0435
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041762207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00705911JMedicaid
GA041762OtherSTATE LICENSE
GA1427151687OtherNPI GROUP
GAF78411Medicare UPIN
GA04BDCGVMedicare ID - Type UnspecifiedMEDICARE