Individual
JUSTIN T COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3477 LOWERY PKWY STE 137, FULTONDALE, AL 35068
(205) 379-6040
(205) 379-6039
Mailing address
3477 LOWERY PKWY STE 137, FULTONDALE, AL 35068-1687
(205) 379-6040
(205) 379-6039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46351
TN
207Q00000X
Family Medicine Physician
Primary
MD.35125
AL
Other
Enumeration date
09/17/2007
Last updated
01/04/2019
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