Healthcare Provider Details

I. General information

NPI: 1407845423
Provider Name (Legal Business Name): WILLIAM A COHEN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING PIKE SUITE 202
NASHVILLE TN
37205
US

IV. Provider business mailing address

4230 HARDING RD SUITE 202
NASHVILLE TN
37205-2013
US

V. Phone/Fax

Practice location:
  • Phone: 615-662-6676
  • Fax: 615-662-8371
Mailing address:
  • Phone: 615-662-6676
  • Fax: 615-662-8371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM0000000443
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: