Individual
MR. THOMAS CHADWICK COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
1011 MEADVILLE STREET, SUMMIT, MS 39666
(601) 341-0398
Mailing address
1011 MEADVILLE STREET, PO BOX 1082, SUMMIT, MS 39666-1082
(601) 341-0398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1406
MS
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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