Doctor Name: | SHARON DELOIS COGGIN |
NPI Number: | 1376584524 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 101057 |
Business Practice Address: | 2561 Hendersonville Rd Arden, NC - 287049577 |
Business Phone Number: | 8286763234 |
Business Fax Number: | 8286763238 |
Mailing Address: | 200 E Broad St Ste 220, GREENVILLE |
State: | SC |
Postal Code: | 296012887 |
Phone Number: | 8286423775 |
Fax Number: | 8645464506 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 101057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |