Individual
PATRICIA ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1 MEDICAL PARK BLVD, STE 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6407
(866) 288-1451
Mailing address
PO BOX 17016, BRISTOL, VA 24209-7016
(423) 844-6407
(866) 288-1451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1043887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4073911
BLUECROSS
TN
Enumeration date
10/04/2007
Last updated
10/04/2007
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