| Doctor Name: | DR. MICHAEL ROBERT COHEN |
| NPI Number: | 1316057821 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 2005-00695 |
| Business Practice Address: | 1000 Towne Center Blvd Suite 701 Pooler, GA - 313224052 |
| Business Phone Number: | 9127482280 |
| Business Fax Number: | 9127484988 |
| Mailing Address: | Po Box 15849, SAVANNAH |
| State: | GA |
| Postal Code: | 314162549 |
| Phone Number: | 9127482280 |
| Fax Number: | 9127484988 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 04/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 2005-00695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |