Organization
WASHINGTON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL C COOK M.D. (PRESIDENT)
(252) 946-4134
Entity
Organization
Contact information
Practice address
1206 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-4134
(252) 946-2432
Mailing address
411 ALDERSON RD, WASHINGTON, NC 27889-3101
(252) 946-4134
(252) 946-2432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23686
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8924043
—
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
Update your record
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