Individual
DR. MARCUS PETER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2826 RANDOLPH RD, CHARLOTTE, NC 28211-1386
(704) 358-0308
(704) 358-0039
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01030
NC
207X00000X
Orthopaedic Surgery Physician
Primary
200501030
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908028
—
NC
Enumeration date
09/26/2006
Last updated
10/25/2020
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