Organization · Type 2 NPI

Cohen Podiatry Clinic

Podiatric Clinic/Center · Laurel, MS

NPI number 1942848635 Active

Practice location

136 S 15th Ave
Laurel, MS 39440-4124

Call (601) 649-6866 Map

Fax (601) 649-6828

Mailing address

12056 Mobile Ave
Gulfport, MS 39503-3004

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed

Podiatric Clinic/Center: Definition to come...

2 other providers at this address

Edward Robert CohenDurable Medical Equipment & Medical Supplies Laurel, MS NPI 1437327574
Robert William Walters, MDDermatology Physician Laurel, MS NPI 1548482482

NPI record

NPI: 1942848635
Entity type: Organization (Type 2)
Issued: Dec 13, 2019
Last updated: Dec 13, 2019
Status: Active
Subpart: Yes of Cohen Podiatry Clinics

Other names

Cohen Podiatry Clinic Laurel · doing business as

Authorized official

Dr. Edward Robert Cohen, DPM
Dr. Edward R. Cohen
(228) 832-4475

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942848635

Cohen Podiatry Clinic's National Provider Identifier is 1942848635, issued on Dec 13, 2019. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Laurel, MS. The record was last updated on Dec 13, 2019.