Provider Demographics
NPI:1437247632
Name:BLAKNEY, SANDRA COCHRANE (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:COCHRANE
Last Name:BLAKNEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:208 JOSEPH POND LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5971
Mailing Address - Country:US
Mailing Address - Phone:919-363-9712
Mailing Address - Fax:919-367-8247
Practice Address - Street 1:567 E HARGETT ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1517
Practice Address - Country:US
Practice Address - Phone:919-856-2772
Practice Address - Fax:919-856-2765
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC93-004222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry