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Organization

VARNAM FAMILY WELLNESS CENTER, LLC

Active
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Organization

VARNAM FAMILY WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH COGGINS VARNAM MSN RN FNP-C (FAMILY NURSE PRACTITIONER/OWNER)
(910) 754-2273
Entity
Organization

Contact information

Practice address
712 VILLAGE RD, SUITE 106, SHALLOTTE, NC 28470-3448
(910) 754-2273
(910) 754-2254
Mailing address
712 VILLAGE RD, SUITE 106, SHALLOTTE, NC 28470-3448
(910) 754-2273
(910) 754-2254

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201308
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018EM
BCBS OF NC
NC
01
—
7003823
CAROLINA ACCESS
NC
05
—
7003823
—
NC
Enumeration date
08/05/2006
Last updated
04/01/2008
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