person
Gary A Cochran
Optician in Kosciusko, Mississippi
NPI 1760673982

Gary A Cochran is a Optician based in Kosciusko, MS and is specialized in Optician. Gary A Cochran practices in Kosciusko, MS. The NPI Number for Gary A Cochran is 1760673982 and holds a License No. 19260 (Mississippi).

The current practice location address for Gary A Cochran is 118 West North St, Kosciusko, MS and can be reached out via phone at 662-289-9581 and via fax at 662-289-9967.

Location: 118 West North St, Kosciusko, MS, 39090-0960
person
Provider Profile Details
NPI Number
1760673982
Provider Name
Gary A Cochran
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 West North St, Kosciusko, MS, 39090-0960
Phone Number
662-289-9581
Fax Number
662-289-9967
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00089021 05 MS
institution
Provider Business Practice Location Address Details
Address
118 West North St
City
State
Zip
39090
Phone Number
662-289-9581
Fax Number
662-289-9967
person
Provider Business Mailing Address Details
Address
118 West North St
City
State
Zip
39090
Phone Number
662-289-9581
Fax Number
662-289-9967
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
19260 (Mississippi)
Definition
Definition to come...
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