Individual
ALICIA COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2314
Mailing address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12681
NC
Other
Enumeration date
11/02/2022
Last updated
03/23/2024
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