Individual
MRS. CHRISTY MICHELLE COCKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2602
(706) 721-8623
Mailing address
1120 15TH ST, DEPARTMENT OF OTOLARYNGOLOGY, AUGUSTA, GA 30912-0012
(706) 721-4400
(706) 721-0112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN192162
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN192162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN192162
LICENSE
GA
Enumeration date
11/30/2009
Last updated
01/18/2024
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