Individual
MRS. SUSAN COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2660 REIDVILLE RD UNIT 1, SPARTANBURG, SC 29301-3512
(864) 560-9696
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.17862 APRN
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006480
—
NC
01
—
AA97936067
MEDICARE PIN
SC
05
—
NP2112
—
SC
01
—
P01168438
RAILROAD MEDICARE
SC
Enumeration date
06/29/2012
Last updated
10/15/2019
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