Individual
MISS HERCHELLE HAYSMAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.-BC
Contact information
Practice address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4308
(770) 995-5131
(770) 995-3482
Mailing address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4308
(770) 995-5131
(770) 995-3482
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN204554
GA
Other
Enumeration date
01/20/2011
Last updated
08/10/2016
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