Individual
JEFF COHENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 ALCOVY ST, MONROE, GA 30655-2140
(770) 267-8461
Mailing address
PO BOX 946, MONROE, GA 30655-0946
(770) 267-8461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
015238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000276856B
—
GA
Enumeration date
02/21/2007
Last updated
06/15/2010
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