Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 913 | NC |
NPI | 1578757787 |
---|---|
Provider Name | Dr. Steven Cohen |
First Address | Greenville, NC 27858 |
Second Address | Greenville, NC 27858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2007 |
Last Update Date | 06/11/2009 |