Individual
DR. CHARLES H COGGIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5895
(434) 200-7529
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-5895
(434) 200-7529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101840609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005643864
—
VA
01
—
080163992
MEDICARE RAILROAD PROVIDER NUMBER
—
01
—
214240
ANTHEM
—
Enumeration date
11/28/2005
Last updated
02/18/2023
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