Individual
CARL HERNDON COGHILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 NHB, 619 SOUTH 19TH STREET, BIRMINGHAM, AL 35249-0001
(205) 996-2244
(205) 996-2254
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255-5823
(205) 996-2244
(205) 996-2254
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
17155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00114021
MISSISSIPPI MEDICAID
—
01
—
2441
HEALTHSPRING
—
01
—
4710009
UHC
—
01
—
510-83151
BC BS
AL
01
—
C76603
VIVA
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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