MEDICARE: J. SYDNEY COCHRAN,MDPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225274558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. SYDNEY COCHRAN,MDPC

Provider Business Mailing Address
First Line	:	PO BOX 385
Second Line	:	1504 E. EVANS STREET
City	:	BAINBRIDGE
State	:	GA
Zip	:	39818-0385
Country	:	US
Telephone Number	:	229-246-6600
Fax Number	:	229-246-9322

Provider Business Practice Location Address
First Line	:	1504 E EVANS ST
Second Line	:
City	:	BAINBRIDGE
State	:	GA
Zip	:	39819-4364
Country	:	US
Telephone Number	:	229-246-6600
Fax Number	:	229-246-9322

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JAMES SYDNEY COCHRAN
Credential	:	M.D.
Telephone Number	:	229-246-6600

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	04/01/2010

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