Provider Demographics
NPI:1801000880
Name:COGHILL, JAMES M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:COGHILL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2670
Mailing Address - Country:US
Mailing Address - Phone:919-384-7300
Mailing Address - Fax:
Practice Address - Street 1:UNC CHAPEL HILL, DIVISION OF HEMATOLOGY ONCOLOGY
Practice Address - Street 2:CB# 7305, 3009 OLD CLINIC BUILDING
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27712
Practice Address - Country:US
Practice Address - Phone:919-966-6767
Practice Address - Fax:919-966-0188
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC45658UMedicare UPIN