Coggin, Sharon Delois
Coggin, Sharon Delois is an individual health care provider with primary practice located at 115 Brushy Creek Rd , Easley SC 29642-1120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Coggin, Sharon Delois can be contacted via phone (864) 546-4497.Contact Information
Primary practice address
115 Brushy Creek Rd
Easley SC 29642-1120
Phone: (864) 546-4497
Fax: (864) 546-4506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 101057 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 101057 | North Carolina |
Profile Details
| NPI number | 1376584524 |
|---|---|
| LBN Legal business name | Coggin, Sharon Delois |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 20th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376584524 | NPPES |
| North Carolina | MEDICAID | 1669897724 | |
| North Carolina | Other | NCG210C | |
| North Carolina | MEDICAID | 0543PA | |
| North Carolina | Other | NCG210D |
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