Individual
GAIL MICHELLE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200300956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10104688
—
VA
01
—
134PR
BCBS
NC
05
—
3810000976
—
WV
01
—
5385619
AETNA
NC
01
—
803153
PARTNERS
NC
05
—
89134PR
—
NC
01
—
C8201
MEDCOST
NC
05
—
Q0095P
—
SC
Enumeration date
12/02/2005
Last updated
01/12/2012
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