Individual
CHARLES R SCOGGINS
Active
Individual
CHARLES R SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
38734
KY
2086X0206X
Surgical Oncology Physician
Primary
38734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489960
—
IN
01
—
50005061
PASSPORT
KY
05
—
64081078
—
KY
Enumeration date
01/17/2006
Last updated
06/27/2018
Update your record
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