Individual
DR. CELESTE LOIS COOK-GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
413 AUDUBON CT, MADISON, MS 39110-6910
(601) 607-3145
(601) 607-3145
Mailing address
413 AUDUBON CT, MADISON, MS 39110-6910
(601) 607-3145
(601) 607-3145
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16062
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.28467
AL
Other
Enumeration date
10/03/2006
Last updated
02/26/2008
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