Individual
WILLIAM CARL COGGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1915 W PARK DR STE 102, NORTH WILKESBORO, NC 28659-3777
(336) 903-9293
Mailing address
2647 GREENHORN RD, ROARING RIVER, NC 28669-8047
(336) 566-9302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6587
NC
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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