Individual
DR. JEFFREY JOHN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 60968, CHARLOTTE, NC 28260-0968
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
079500
GA
207P00000X
Emergency Medicine Physician
2007-00309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906841
—
NC
Enumeration date
04/19/2007
Last updated
03/26/2020
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