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Individual

TIFFANY M COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
721 OKATIE HWY 170, RIDGELAND, SC 29936-3963
(843) 986-0900
(843) 986-0566
Mailing address
PORT ROYAL MEDICAL CENTER, 1320 RIBAUT ROAD, PORT ROYAL, SC 29935
(843) 987-7400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.138771
OH
207R00000X
Internal Medicine Physician
88674
SC
207R00000X
Internal Medicine Physician
Primary
MD-88674
SC
390200000X
Student in an Organized Health Care Education/Training Program
GA

Other

Enumeration date
04/03/2017
Last updated
05/17/2024
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