Doctor Name: | TODD ERIC COOK |
NPI Number: | 1871556159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0010-02715 |
Business Practice Address: | 1000 Perkins Rd Se Valdese, NC - 286909749 |
Business Phone Number: | 8283268448 |
Business Fax Number: | 8283268427 |
Mailing Address: | 3086 Main Ave Nw, HICKORY |
State: | NC |
Postal Code: | 286015663 |
Phone Number: | 8283268448 |
Fax Number: | 8283268427 |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-02715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |