Organization
COGGINS FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY T COGGINS FNP-BC (PRESIDENT)
(662) 494-5863
Entity
Organization
Contact information
Practice address
411 GRIFFIN ST, WEST POINT, MS 39773-0000
(662) 494-5863
(662) 494-5287
Mailing address
411 GRIFFIN ST, WEST POINT, MS 39773-0000
(662) 494-5863
(662) 494-5287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06521742
—
MS
Enumeration date
12/14/2006
Last updated
11/03/2010
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