Provider Demographics
NPI:1407845423
Name:COHEN, WILLIAM A (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4230 HARDING RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2013
Mailing Address - Country:US
Mailing Address - Phone:615-662-6676
Mailing Address - Fax:615-662-8371
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205
Practice Address - Country:US
Practice Address - Phone:615-662-6676
Practice Address - Fax:615-662-8371
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000443213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT84345Medicare UPIN