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Individual

DR. ALLAHNA ALLYBIA COGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 HARRIS INDUSTRIAL BLVD, STE C, VIDALIA, GA 30474-8852
(912) 537-1014
(912) 538-0979
Mailing address
101 HARRIS INDUSTRIAL BLVD STE C, VIDALIA, GA 30474-8852
(912) 537-1014
(912) 538-0979

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
27805
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
73084
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073084
STATE LICENSE
GA
01
20-27805
STATE CONTROLLED SUBST
SC
01
210973
STATE LIMITED LISENCE
MA
01
27805
STATE LISENCE
SC
05
278050
SC
Enumeration date
04/04/2006
Last updated
03/07/2023
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