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Individual

DR. MICHAEL DAVID COGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
78 LONG SHOALS RD, ARDEN, NC 28704-7782
(828) 684-0703
(828) 684-5344
Mailing address
78 LONG SHOALS RD, ARDEN, NC 28704
(828) 684-0703
(828) 684-5344

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29542
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7923470
NC
Enumeration date
02/22/2006
Last updated
08/23/2012
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