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Individual

MARK D COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 W 3RD AVE, SUITE 600, ALBANY, GA 31701-1941
(229) 431-1022
(229) 431-2068
Mailing address
425 W 3RD AVE, SUITE 600, ALBANY, GA 31701-1941
(229) 431-1022
(229) 431-2068

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01029427A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
62107
GA
207RI0011X
Interventional Cardiology Physician
01029427A
IN
207RI0011X
Interventional Cardiology Physician
62107
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
879450752A
GA
Enumeration date
08/12/2005
Last updated
07/14/2010
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