Individual
SONAM KUBER COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 W SOUTH ST, MANNING, SC 29102-2925
(803) 433-4321
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3684
SC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
SC
Other
Enumeration date
09/01/2020
Last updated
05/11/2021
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