Individual
MRS. JACKIE COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 PARKVIEW DR, LAURENS, SC 29360-2614
(864) 984-7777
(864) 984-2926
Mailing address
200 PARKVIEW DR, LAURENS, SC 29360-2614
(864) 984-7777
(864) 984-2926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
25500
SC
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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