Organization
CHESTATEE PATHOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN COCHRAN MD (PRESIDENT)
(770) 438-5215
Entity
Organization
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 438-5215
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3670
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
08/22/2020
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