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Individual
DR. JOHN STEWART COOKE
Active
Individual
DR. JOHN STEWART COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
001021
GA
207L00000X
Anesthesiology Physician
Primary
30211
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
30211
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
30211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208477
MEDCOST
SC
05
—
302112
—
SC
01
—
AA27741358
MEDICARE PTAN
SC
Enumeration date
04/03/2007
Last updated
10/21/2020
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