Individual
MR. JASON THOMAS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 ASHELAND AVE, ASHEVILLE, NC 28801-4016
(828) 258-8681
(828) 253-4830
Mailing address
2161 HENDERSONVILLE RD, ARDEN, NC 28704-7741
(828) 258-8681
(828) 253-4830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-00167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009-00167
LICENSE
NC
05
—
5915504
—
NC
Enumeration date
06/20/2007
Last updated
01/29/2016
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