Individual
MR. ROY LEE COGGIN
Active
Individual
MR. ROY LEE COGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPED,COF
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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