Individual
ANTHONY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDP
Contact information
Practice address
1230 2ND AVE, COLUMBUS, GA 31901-5241
(706) 321-9606
(706) 322-6576
Mailing address
PO BOX 5328, COLUMBUS, GA 31906-0328
(706) 321-9606
(706) 322-6576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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