Individual
DR. BOBBY LEE COCKERHAM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D
Contact information
Practice address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3879
(704) 366-2774
Mailing address
6719 FAIRVIEW RD, CHARLOTTE, NC 28210-3879
(704) 366-2774
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9124
NC
Other
Enumeration date
06/14/2011
Last updated
09/13/2018
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