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Individual

WILLIAM N COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10404 JACKSON OAKS WAY, KNOXVILLE, TN 37922-3293
(865) 223-5835
Mailing address
1733 NATALIE NEHS DR, KNOXVILLE, TN 37931-4555
(865) 384-6630
(865) 690-6949

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000000789
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA0000000789
STATE LIC NUMBER
TN
Enumeration date
11/17/2005
Last updated
08/07/2012
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