Individual
DR. JOANN MARIE KOCHENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 PAGE ROAD, PINEHURST, NC 28374-8798
(910) 295-5511
(910) 295-5481
Mailing address
205 PAGE ROAD, PINEHURST, NC 28374-8798
(910) 295-5511
(910) 295-5481
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2007-00293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145JY
BCBS NC PROVIDER #
NC
01
—
199378
MEDCOST PROVIDER #
NC
05
—
5907208
—
NC
01
—
FH2967440
FIRSTCAROLINACARE #
NC
01
—
N0029G
SC MEDICAID PROVIDER #
SC
Enumeration date
05/08/2007
Last updated
05/17/2008
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