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NPI Code Detail

MEDICARE: DR. SYDNEY COHEN MD

MEDICARE:  DR. SYDNEY  COHEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician042216GA
22084P0804XChild & Adolescent Psychiatry Physician042216GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110590056OTHERGACAQH
252508263OTHERGABCBS GA

General Provider Information

NPI Number : 1609987908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYDNEY COHEN MD
Provider Business Mailing Address
First Line : PO BOX 5099
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-5099
Country : US
Telephone Number : 912-882-3662
Fax Number : 912-882-7720
Provider Business Practice Location Address
First Line : 10545 COLERAIN RD
Second Line :
City : SAINT MARYS
State : GA
Zip : 31558-3720
Country : US
Telephone Number : 912-882-3662
Fax Number : 912-882-7720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/11/2025

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Directions to “ DR. SYDNEY COHEN MD” Practice Location

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