Individual
BENJAMIN JOSEPH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
5241 SPARKS RD, HAMPTONVILLE, NC 27020-8348
(336) 244-6640
Mailing address
5241 SPARKS RD, HAMPTONVILLE, NC 27020-8348
(336) 244-6640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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