Individual
JAMES H COOKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 CHURCH ST N, SUITE 255, CONCORD, NC 28025-2927
(704) 403-1331
(704) 403-2533
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 403-1331
(704) 403-2533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01880
NC
207R00000X
Internal Medicine Physician
23263
NC
208M00000X
Hospitalist Physician
2005-01880
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184694093
—
NC
01
—
205568D
MEDICARE PTAN
NC
Enumeration date
01/24/2006
Last updated
01/09/2017
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