Organization
ROBERT T. COOK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TED COOK MD (PRESIDENT)
(706) 695-4546
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, CHATSWORTH, GA 30705-0430
(706) 695-4546
(706) 695-0231
Mailing address
P.O. BOX 430, CHATSWORTH, GA 30705-0430
(706) 695-4546
(706) 695-0231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA026087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289913-A
—
GA
Enumeration date
03/04/2011
Last updated
03/04/2011
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