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Individual

MARK LIST COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
034565
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
034565
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000470929GJLMNOPQR
GA
Enumeration date
07/18/2005
Last updated
09/21/2010
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