Coggins, Susan

Coggins, Susan is an individual health care provider with primary practice located at 2660 Reidville Rd Unit 1 , Spartanburg SC 29301-3512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coggins, Susan can be contacted via phone (864) 560-9696.

Contact Information

Primary practice address
2660 Reidville Rd Unit 1 Spartanburg SC 29301-3512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.17862 APRN South Carolina

Profile Details

NPI number 1790049112
LBN Legal business name Coggins, Susan
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790049112 NPPES
North Carolina MEDICAID 7006480
North Carolina MEDICAID NP2112
North Carolina Other P01168438
North Carolina Other AA97936067

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