Provider Demographics
NPI:1386903995
Name:G. ABRAMS & R. COHEN S.C. 2 PC
Entity type:Organization
Organization Name:G. ABRAMS & R. COHEN S.C. 2 PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-297-1344
Mailing Address - Street 1:10092 CHARLOTTE HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-7135
Mailing Address - Country:US
Mailing Address - Phone:803-548-1800
Mailing Address - Fax:803-548-1801
Practice Address - Street 1:10092 CHARLOTTE HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-7135
Practice Address - Country:US
Practice Address - Phone:803-548-1800
Practice Address - Fax:803-548-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty