Individual
DR. JESSIE MICHAEL COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NORFLEET DR, SENATOBIA, MS 38668-2231
(662) 301-1128
(662) 301-4430
Mailing address
120 NORFLEET DR, SENATOBIA, MS 38668-2220
(662) 301-1128
(662) 301-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17248
MS
Other
Enumeration date
06/15/2005
Last updated
10/12/2012
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