Organization
JEFF COHENOUR, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF COHENOUR MD (OWNER)
(770) 267-1891
Entity
Organization
Contact information
Practice address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-1891
(770) 267-1798
Mailing address
1605 LAKES PKWY, PATHOLOGY DEPT, LAWRENCEVILLE, GA 30043-5858
(770) 237-4520
(770) 237-1920
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
015238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033120
BCBS
GA
Enumeration date
02/21/2007
Last updated
06/14/2010
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