Individual
PATRICK HEZEKIAH COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 SCRANTON RD, BRUNSWICK, GA 31520-1927
(912) 289-9273
Mailing address
117 DEER WOOD TRL, BRUNSWICK, GA 31523-9194
(404) 372-4801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014660
GA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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