Individual
ANGELA E. COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6635 LAKE DR, MORROW, GA 30260-2354
(770) 968-1323
(770) 968-4556
Mailing address
6635 LAKE DR, MORROW, GA 30260-2354
(770) 968-1323
(770) 968-4556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119943
GA
363L00000X
Nurse Practitioner
Primary
RN119943NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148111A
—
GA
05
—
003148111B
—
GA
Enumeration date
05/08/2013
Last updated
10/11/2016
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