Individual provider · Type 1 NPI
Gary William Cockrell, D.P.M.
Foot Surgery Podiatrist · Brentwood, TN
NPI number
1053452128
Active
Practice location
785 Old Hickory Blvd, Suite 101
Brentwood, TN 37027-4512
Fax (615) 370-9039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | DPM0000000353 (TN) |
| Foot Surgery Podiatrist Primary | 213ES0131X | DPM0000000353 (TN) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1053452128
Gary William Cockrell, D.P.M.'s National Provider Identifier is 1053452128, issued on Feb 9, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Brentwood, TN. The record was last updated on Jun 4, 2013.