| Cozart & Associates Pllc, Wiley Simeon Cozart Iii Sole Mbr | |
|
344 Gallimore Road Brevard NC 28712-8874 | |
| (828) 884-4433 | |
| (828) 884-7875 |
| Full Name | Cozart & Associates Pllc, Wiley Simeon Cozart Iii Sole Mbr |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 344 Gallimore Road, Brevard, North Carolina |
| Authorized Official Name and Position | Wiley Simeon Cozart (OWNER) |
| Authorized Official Contact | 8288844433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cozart & Associates Pllc, Wiley Simeon Cozart Iii Sole Mbr 344 Gallimore Rd Brevard NC 28712-8874 Ph: (828) 884-4433 | Cozart & Associates Pllc, Wiley Simeon Cozart Iii Sole Mbr 344 Gallimore Road Brevard NC 28712-8874 Ph: (828) 884-4433 |
| NPI Number | 1487950549 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487950549 | NPI | - | NPPES |
| 7991840 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5073 (North Carolina) | Primary |
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