Individual
JESS COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 UNIVERSITY DR, WEST LIBERTY, WV 26074-1082
(304) 336-5000
Mailing address
120 CLARKE PL, FREDERICK, MD 21701-6530
(240) 575-4229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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