Individual
MR. ROY LEE COGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED,COF
Contact information
Practice address
3708 N MAIN ST., FARMVILLE, NC 27828-1434
(252) 753-2092
(252) 753-2499
Mailing address
PO BOX 690, FARMVILLE, NC 27828-0690
(252) 753-2092
(252) 753-2499
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
NC
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795254
—
NC
05
—
7795300
—
NC
Enumeration date
06/21/2007
Last updated
11/15/2012
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