Provider Demographics
NPI:1639260433
Name:COHEN, LOUIS VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:VICTOR
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1230 JOHNSON FERRY PL
Mailing Address - Street 2:SUITE A10
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2048
Mailing Address - Country:US
Mailing Address - Phone:770-565-4317
Mailing Address - Fax:770-565-4319
Practice Address - Street 1:1230 JOHNSON FERRY PL
Practice Address - Street 2:SUITE A10
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2048
Practice Address - Country:US
Practice Address - Phone:770-565-4317
Practice Address - Fax:770-565-4319
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-05-18
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Provider Licenses
StateLicense IDTaxonomies
GA022496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD45090Medicare UPIN