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Individual

MR. ROBERT TED COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD MPH FAAFP

Contact information

Practice address
100 HOSPITAL DR, CHATSWORTH, GA 30705-2058
(706) 695-4546
(706) 695-0231
Mailing address
PO BOX 430, CHATSWORTH, GA 30705-0430
(706) 695-4546
(706) 695-0231

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA026087
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00289913A
GA
Enumeration date
09/27/2005
Last updated
03/29/2011
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