Individual
GINA C COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3820 MEDICAL PARK DR, AUSTELL, GA 30106-1110
(770) 948-6049
(770) 978-7994
Mailing address
3820 MEDICAL PARK DR, AUSTELL, GA 30106-1110
(770) 948-6049
(770) 978-7994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5949
GA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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