Individual
DR. MICHAEL COOKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 WOODS COVE RD, SCOTTSBORO, AL 35768-2428
(256) 218-3855
Mailing address
PO BOX 343, SCOTTSBORO, AL 35768-0343
(256) 218-3855
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
00013459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51079331
BLUE CROSS PROVIDER
AL
Enumeration date
07/20/2006
Last updated
07/08/2007
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