Individual
DR. KEVIN S COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 WEST MEDICAL PARK ROAD, AUGUSTA, GA 30909-4504
(706) 854-1511
(706) 854-0542
Mailing address
1207 WEST MEDICAL PARK ROAD, AUGUSTA, GA 30909-4504
(706) 854-1511
(706) 854-0542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033948
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000448841C
—
GA
01
—
345823
WELLCARE
GA
05
—
GPA621
—
SC
Enumeration date
03/24/2006
Last updated
09/22/2010
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