Provider Demographics
NPI:1164793170
Name:COHAN, AMY SUE (NP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SUE
Last Name:COHAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:BA 4407
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-2888
Mailing Address - Fax:706-721-6271
Practice Address - Street 1:5354 REYNOLDS ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6007
Practice Address - Country:US
Practice Address - Phone:912-819-6796
Practice Address - Fax:912-819-6787
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
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Provider Licenses
StateLicense IDTaxonomies
GARN193985363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health