Provider Demographics
NPI:1639412893
Name:COGLE, CATHI (CPM-TN)
Entity Type:Individual
Prefix:MRS
First Name:CATHI
Middle Name:
Last Name:COGLE
Suffix:
Gender:F
Credentials:CPM-TN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 NEWELL CIR
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-4224
Mailing Address - Country:US
Mailing Address - Phone:865-577-0490
Mailing Address - Fax:
Practice Address - Street 1:934 NEWELL CIR
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-4224
Practice Address - Country:US
Practice Address - Phone:865-577-0490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife