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Individual

DR. DAVID M COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19485 OLD JETTON RD, SUITE 100, CORNELIUS, NC 28031-6582
(704) 834-1775
(704) 384-1776
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36092
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89424040
NC
Enumeration date
01/10/2006
Last updated
03/11/2015
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