# COGGINS FAMILY MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003978388
- **Authorized official:** MRS. KAY T COGGINS FNP-BC (PRESIDENT)
- **Authorized official phone:** (662) 494-5863

## Contact information

- **Practice address:** 411 GRIFFIN ST, WEST POINT, MS 39773-0000
- **Practice address phone:** (662) 494-5863
- **Practice address fax:** (662) 494-5287
- **Mailing address:** 411 GRIFFIN ST, WEST POINT, MS 39773-0000
- **Mailing address phone:** (662) 494-5863
- **Mailing address fax:** (662) 494-5287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 11/03/2010