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Individual

DR. WILLIAM D COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3303 A GLYNN AVENUE, BRUNSWICK, GA 31520
(912) 466-9500
(912) 466-9922
Mailing address
3303 A GLYNN AVENUE, BRUNSWICK, GA 31520
(912) 466-9500
(912) 466-9922

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000694
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41ZCBWD
MEDICARE
GA
05
767210001A
GA
Enumeration date
07/20/2006
Last updated
09/11/2012
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