Individual
JOSEPH WILLIAM COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 BLYTHE BLVD STE 300, CHARLOTTE, NC 28203-5863
(704) 373-0212
(704) 372-1249
Mailing address
PO BOX 60122, CHARLOTTE, NC 28260-0122
(704) 373-0212
(704) 372-1249
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
15892
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24034
BCBS
NC
05
—
385108
—
SC
05
—
8924034
—
NC
01
—
P00200648
RAILROAD MEDICARE
—
Enumeration date
08/11/2006
Last updated
07/08/2007
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