Individual
TIMOTHY DAVID COOKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4319
(252) 948-4826
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023-01334
NC
Other
Enumeration date
04/01/2020
Last updated
02/06/2024
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