Whalio Doctors

NPI 1164628806

Roy Lee Coggin, CPEDCOF

Practitioner Pedorthist Farmville, NC

Practice location

Address
3708 N Main St., Farmville, NC 27828-1434
Phone
(252) 753-2092
Fax
(252) 753-2499
Mailing address
PO Box 690, Farmville, NC 27828-0690

Registered specialties (2)

Pedorthist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X
Orthotic Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Registry record

NPI
1164628806
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2007
Record last updated
15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.