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Individual

JEFFREY COHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 333-1000
Mailing address
42 COTTON XING W, SAVANNAH, GA 31411-1543
(912) 598-5096

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056038
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279710100
FL
05
406072500
MD
05
486318878A
GA
01
N413838
WELLCARE
GA
Enumeration date
06/14/2006
Last updated
02/10/2009
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