JEFF COHENOUR, MD, PC
Medical Laboratory at Alcovy St, Monroe, GA

License number
Georgia 015238
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: JEFF COHENOUR MD
Title: OWNER
Phone: (770) 267-1891
Address
Address 2
330 Alcovy St, Monroe, GA 30655
1605 Lakes Pkwy DEPT PATHOLOGY, Lawrenceville, GA 30043
National Provider ID: 1619012879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFF COHENOUR, M.D., PC

PO Box 946, Monroe, GA 30655

Registration:
Jul 26, 1974
State ID:
H405725
Business type:
Domestic Profit Corporation
CEOs:
Helen Cohenour (CFO), PO Box 946, Monroe, GA 30655 (Physical),Jeff Cohenour (CEO), PO Box 946, Monroe, GA 30655 (Physical)
Agent:
Jeff Cohenour, M.d,2151 W Spg St, Monroe, GA (Physical)

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