Individual
DR. GARY BRENT COGDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3320 SILAS CREEK PKWY, SUITE 280, WINSTON SALEM, NC 27103-3031
(336) 765-3159
(336) 659-0998
Mailing address
PO BOX 30024, WINSTON SALEM, NC 27130-0024
(336) 765-3169
(336) 659-0998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1180
NC
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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