Individual
DR. MICHAEL E COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
COLUMBUS AFB 14TH MEDICAL GROUP 201 INDEPENDENCE DRIVE, COLUMBUS, MS 39710-0001
(662) 434-2273
Mailing address
14TH MEDICAL GROUP 201 INDEPENDENCE DRIVE, COLUMBUS, MS 39710-0001
(662) 434-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
17128
AL
207RI0200X
Infectious Disease Physician
17128
AL
2083A0100X
Aerospace Medicine Physician
Primary
17128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111729
—
AL
Enumeration date
06/30/2006
Last updated
03/27/2024
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