MEDICARE: JAMES SYDNEY COCHRAN M.D.

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	018631	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	018631	OTHER	GA	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437218112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES SYDNEY COCHRAN M.D.

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

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	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/21/2022

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