Provider Demographics
NPI:1679597884
Name:COHEN, ANDRE S (MD)
Entity type:Individual
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First Name:ANDRE
Middle Name:S
Last Name:COHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:895 CANTON RD NE
Mailing Address - Street 2:BUILDING 100
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8934
Mailing Address - Country:US
Mailing Address - Phone:770-427-8111
Mailing Address - Fax:770-499-1643
Practice Address - Street 1:4645 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7541
Practice Address - Country:US
Practice Address - Phone:770-577-2220
Practice Address - Fax:770-577-2771
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA057947207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology