Individual
DR. WILLIAM TODD COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2108 E 3RD ST, SUITE 200, CHATTANOOGA, TN 37404-2600
(423) 267-0466
(423) 493-2369
Mailing address
979 E 3RD ST, SUITE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 493-2371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD38542
TN
208600000X
Surgery Physician
Primary
MD38542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934518
—
AL
01
—
4088363
BCBS OF TN
—
05
—
672562420A
—
GA
01
—
P00165478
RR MEDICARE
—
05
—
Q002579
—
TN
01
—
TN0183
JDH
—
Enumeration date
09/07/2005
Last updated
02/11/2015
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