Individual
DR. CHARLES DAVID COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
150 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1549
(336) 865-0344
(336) 765-7306
Mailing address
150 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1549
(336) 865-0344
(336) 765-7306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006328
NC
363LA2100X
Acute Care Nurse Practitioner
5006328
NC
Other
Enumeration date
08/01/2013
Last updated
04/04/2024
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