Individual
MRS. TINA SPARKS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
157 PARAGON PKWY STE 800, CLYDE, NC 28721-9481
(828) 452-6675
Mailing address
157 PARAGON PKWY STE 800, CLYDE, NC 28721-9481
(828) 452-6675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152408
NC
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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