Individual
DR. BYRON THOMAS COOK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 NORTHSIDE BLVD, SUITE 1200, CUMMING, GA 30041-7623
(678) 845-0466
(678) 845-0471
Mailing address
1505 NORTHSIDE BLVD, SUITE 1200, CUMMING, GA 30041-7623
(678) 845-0466
(678) 845-0471
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
070070
GA
207W00000X
Ophthalmology Physician
P2974
TX
207W00000X
Ophthalmology Physician
R2010
KY
Other
Enumeration date
05/30/2008
Last updated
09/17/2013
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