Individual
TINA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 305-0366
Mailing address
PO BOX 6599, DOTHAN, AL 36302-6599
(334) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-100682
AL
Other
Enumeration date
12/20/2018
Last updated
03/03/2021
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