Individual
PATRICIA TAYLOR COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
Mailing address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239565
VA
208000000X
Pediatrics Physician
0101239565
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010406749
—
VA
01
—
C05698
GROUP PTAN
VA
Enumeration date
06/30/2006
Last updated
02/21/2020
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