Organization Name: | JAY S COCHRAN MD PC |
NPI Number: | 1962579268 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY S COCHRAN (PRESIDENT) |
Mailing Address: | 2000 Us Highway 76 West Hiawassee |
State: | GA US |
Postal Code: | 30546 |
Phone Number: | 7068960544 |
Fax Number: | 7068967282 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 52235849 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |