Individual
MRS. KIMBERLY COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 E DEKALB ST STE C, CAMDEN, SC 29020-4432
(803) 713-0806
Mailing address
PO BOX 217, CAMDEN, SC 29021-0217
(803) 713-0806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20156
SC
Other
Enumeration date
10/12/2016
Last updated
01/10/2022
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