Individual
DR. MAXWELL C COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1005 CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-9221
(662) 837-2110
Mailing address
403 REEVES ST, NEW ALBANY, MS 38652-4319
(662) 534-9834
(662) 837-2110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MS05915
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015587
—
MS
Enumeration date
10/16/2006
Last updated
07/08/2007
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