Doctor Name: | DONALD EUGENE COOK |
NPI Number: | 1669486288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 27439 |
Business Practice Address: | 4503 Old Monroe Rd Indian Trail, NC - 280795309 |
Business Phone Number: | 7048216900 |
Business Fax Number: | 7048216911 |
Mailing Address: | Po Box 601888, CHARLOTTE |
State: | NC |
Postal Code: | 282601888 |
Phone Number: | 7048216900 |
Fax Number: | 7048216911 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 06/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27439 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |