Individual
DR. SANDRA W COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 GERMANTOWN CT, SUITE 100, CORDOVA, TN 38018-7273
(901) 758-7888
(901) 266-6445
Mailing address
PO BOX 1000, DEPT # 457, MEMPHIS, TN 38148-0001
(901) 758-7888
(901) 266-6445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44372
TN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
147466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728228
—
MS
05
—
1513556
—
TN
05
—
177839001
—
AR
01
—
4355484
BCBS
TN
01
—
P01246356
RAILROAD MEDICARE
TN
Enumeration date
06/24/2006
Last updated
06/18/2021
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