Individual
BIANCA COGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
215 OLD HOMEPLACE DR, ADVANCE, NC 27006-7359
(336) 413-7380
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015626
NC
363LA2100X
Acute Care Nurse Practitioner
COGA-4A5W9
NC
Other
Enumeration date
01/15/2022
Last updated
03/29/2022
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