Individual
DR. NICOLE MOMBERG COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MBA MSMS
Contact information
Practice address
4425 PAULSEN ST, BLDG A 1ST FLOOR, SAVANNAH, GA 31405-3662
(912) 350-6000
(912) 350-6001
Mailing address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
070362
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136114A
—
GA
05
—
003136114B
—
GA
05
—
GA1547
—
SC
01
—
P01198997
RAILROAD MEDICARE
GA
Enumeration date
05/25/2010
Last updated
01/04/2022
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