Organization
COHEN PODIATRY CLINIC
Active
Parent organization
COHEN PODIATRY CLINICS
Other names
Cohen Podiatry Clinic Laurel
Organization subpart
Yes
Provider details
NPI number
Legal business name
COHEN PODIATRY CLINICS
Authorized official
DR. EDWARD ROBERT COHEN DPM (DR. EDWARD R. COHEN)
(228) 832-4475
Entity
Organization
Contact information
Practice address
136 S 15TH AVE, LAUREL, MS 39440-4124
(601) 649-6866
(601) 649-6828
Mailing address
12056 MOBILE AVE, GULFPORT, MS 39503-3004
(228) 832-4475
(228) 832-1512
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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