Individual
CHARLES ADAM DECOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041-6081
(770) 292-6500
(770) 292-6535
Mailing address
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041-6081
(770) 292-6500
(770) 292-6535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200301449
NC
207X00000X
Orthopaedic Surgery Physician
0101245422
VA
207X00000X
Orthopaedic Surgery Physician
Primary
63576
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101245422
LICENSE
VA
01
—
01353242
AMERIGROUP
GA
05
—
509140519A
—
GA
05
—
509140519B
—
GA
05
—
509140519C
—
GA
05
—
509140519O
—
GA
05
—
509140519P
—
GA
05
—
509140519Q
—
GA
01
—
52241691
BCBS
GA
01
—
557507
WELLCARE
GA
01
—
7493615
CIGNA
GA
05
—
89136RR
—
NC
01
—
9485152
AETNA
GA
01
—
P00903599
MEDICARE RAILROAD
GA
01
—
P01659745
RR MEDICARE
GA
01
—
P01726634
RR MEDICARE
GA
Enumeration date
01/12/2007
Last updated
03/07/2023
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