Individual
JULIA M COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1095 COLUMBIA RD, JOHNSTON, SC 29832-2731
(803) 275-1997
(803) 275-1783
Mailing address
1095 COLUMBIA RD, JOHNSTON, SC 29832-2731
(803) 275-1997
(803) 275-1783
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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