Individual provider · Type 1 NPI

Anthony Craig Coghlan

Specialist · Iuka, MS

NPI number 1801933478 Active

Practice location

503 Constitution Dr
Iuka, MS 38852-8201

Fax (662) 424-9592

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA3630 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801933478

Anthony Craig Coghlan's National Provider Identifier is 1801933478, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Iuka, MS. The record was last updated on Jul 8, 2007.