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NPI Code Detail

MEDICARE: DENNIS A COHEN MD

MEDICARE: DENNIS A 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
1208000000XPediatrics Physician7379SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033181276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS A COHEN MD
Provider Business Mailing Address
First Line : PO BOX 402145
Second Line :
City : ATLANTA
State : GA
Zip : 30384-2145
Country : US
Telephone Number : 803-296-7313
Fax Number : 803-296-7330
Provider Business Practice Location Address
First Line : 1316 N LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7653
Country : US
Telephone Number : 803-808-5050
Fax Number : 803-808-5059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 12/27/2007

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Directions to “ DENNIS A COHEN MD” Practice Location

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