MEDICARE: DR. BENJAMIN COHEN D.C.

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
1	111N00000X	Chiropractor	CHIR009476	GA

General Provider Information

NPI Number	:	1962887067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN COHEN D.C.

Provider Business Mailing Address
First Line	:	285 MOUNT VERNON HWY NE
Second Line	:	SUITE A
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-3918
Country	:	US
Telephone Number	:	850-559-1390
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 MOUNT VERNON HWY NE
Second Line	:	SUITE A
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-3918
Country	:	US
Telephone Number	:	850-559-1390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	07/30/2015

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