Provider Demographics
NPI:1588752935
Name:COHEN, ARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ARIE
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 HIGHWAY 76 STE E
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-7314
Mailing Address - Country:US
Mailing Address - Phone:706-695-7790
Mailing Address - Fax:706-695-9003
Practice Address - Street 1:1415 HIGHWAY 76 STE E
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-7314
Practice Address - Country:US
Practice Address - Phone:706-695-7790
Practice Address - Fax:706-695-9003
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor