Organization
TIMOTHY A COOK SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A COOK CRNA (PRESIDENT)
(706) 650-1056
Entity
Organization
Contact information
Practice address
326 DUNGANNON DR, ABBEVILLE, SC 29620-4507
(706) 650-1056
(706) 650-1056
Mailing address
326 DUNGANNON DR, ABBEVILLE, SC 29620-4507
(706) 650-1056
(706) 650-1056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN134360
GA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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