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Organization

GOOD SHEPHERD FAMILY PRACTICE, PA

Active
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Organization

GOOD SHEPHERD FAMILY PRACTICE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES W. N. COCHRAN MD (OWNER)
(864) 614-2182
Entity
Organization

Contact information

Practice address
111 N EARLE ST, WALHALLA, SC 29691-2419
(864) 614-2182
(864) 718-5354
Mailing address
235 SCENIC HEIGHTS RD, WEST UNION, SC 29696-3134
(864) 614-2182
(864) 718-5354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15666
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156663
—
SC
Enumeration date
08/31/2006
Last updated
07/02/2015
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