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Individual

DR. DOUGLAS WAYNE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
86 PALMETTO RD, RAYVILLE, LA 71269-6415
(318) 728-2970
Mailing address
213 EAST FRENCHMAN'S BEND ROAD, MONROE, LA 71203
(318) 410-8031
(318) 728-2272

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
015129
LA
324500000X
Substance Abuse Rehabilitation Facility
15129
LA

Other

Enumeration date
04/24/2007
Last updated
06/25/2019
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