Individual
KENNETH G. COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1237 HARDING PL, STE 3200, CHARLOTTE, NC 28204
(704) 355-5375
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9700824
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
9700824
NC
207RP1001X
Pulmonary Disease Physician
Primary
9700824
NC
Other
Enumeration date
07/15/2006
Last updated
07/22/2024
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