Organization
THOMAS L COHEN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J DILWORTH JR. (ADMINISTRATOR)
(865) 525-9414
Entity
Organization
Contact information
Practice address
923 E CENTRAL AVE, RADIOLOGY DEPARTMENT, LA FOLLETTE, TN 37766-2768
(865) 525-9414
(865) 525-9452
Mailing address
PO BOX 1427, LA FOLLETTE, TN 37766-1427
(865) 525-9414
(865) 525-9452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3386057
—
TN
Enumeration date
01/03/2007
Last updated
02/03/2009
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