Individual
TAMMY DOCKERY COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, SUITE A, CHARLOTTE, NC 28204-2839
(980) 442-2000
(704) 355-5800
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(980) 442-2000
(704) 355-5800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006613
—
NC
05
—
NP2298
—
SC
Enumeration date
10/06/2010
Last updated
01/16/2017
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