Individual
JOHN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
7519 HOSPITAL DR, GLOUCESTER, VA 23061-4178
(804) 443-3311
Mailing address
PO BOX 601789, CHARLOTTE, NC 28260-1789
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110001115
VA
363A00000X
Physician Assistant
Primary
0110001115
VA
363A00000X
Physician Assistant
102122
NC
Other
Enumeration date
07/17/2006
Last updated
02/23/2011
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