Cochran, Renee' S.

Cochran, Renee' S. is an individual health care provider with primary practice located at 572 W Main St , Cartersville GA 30120-3469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cochran, Renee' S. can be contacted via phone (770) 386-4161.

Contact Information

Primary practice address
572 W Main St Cartersville GA 30120-3469
Phone: (770) 386-4161
Fax: (770) 386-9364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN069910 NP Georgia

Profile Details

NPI number 1811978380
LBN Legal business name Cochran, Renee' S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811978380 NPPES
Georgia MEDICAID 00885805A

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