Individual
MS. BRIDGETTE ANN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 SIGNAL HILL DR STE C, STATESVILLE, NC 28625-4483
(704) 871-8999
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08190
NC
Other
Enumeration date
07/05/2018
Last updated
12/08/2020
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