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Individual

DR. JEFFREY NELSON COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2024 15TH ST, STE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104
Mailing address
2024 15TH ST, STE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS09097
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116548
MS
01
180024836
RAILROAD MEDICARE
MS
Enumeration date
06/14/2005
Last updated
06/26/2020
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