# BADIA MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BADIA MEDICAL LLC
- **Other names:** Cochran Family MedicaL Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144025784
- **Legal business name:** BADIA MEDICAL LLC
- **Authorized official:** ASHLEY DEFORE (OFFICE MANAGER)
- **Authorized official phone:** (478) 922-3074

## Contact information

- **Practice address:** 179 W DYKES ST, COCHRAN, GA 31014-6921
- **Practice address phone:** (478) 922-3074
- **Mailing address:** 107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
- **Mailing address phone:** (478) 922-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 02/18/2025