Shontae Cogle

NPI #1689266900 in Augusta, Georgia

Provider Information

NPI Number: 1689266900
Entity Type: Individual
Name: Shontae Cogle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Feb 8, 2021
Last Updated: Feb 8, 2021

Practice Location

Address: 114 SHARTOM DR
City: Augusta
State: Georgia
ZIP Code: 30907-4748
Phone: (706) 814-6777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Local Education Agency (LEA)	251300000X
Home Delivered Meals	332U00000X
Home Health	251E00000X	Primary

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