Healthcare Provider Details

I. General information

NPI: 1831145127
Provider Name (Legal Business Name): MARY E COHEN-COLSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 SELLERS LN
MOBILE AL
36608-4646
US

IV. Provider business mailing address

5750 A SOUTHLAND DRIVE
MOBILE AL
36693-3316
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-2211
  • Fax: 251-662-7297
Mailing address:
  • Phone: 251-450-2211
  • Fax: 251-662-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number32049
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19573
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number199763
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19573
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: