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Individual

CODY MICHAEL COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
260 HAMILTON CROSSING DR, ALCOA, TN 37701-2262
(865) 223-8739
Mailing address
1440 TRAILRIDGE CIR, MOUNT JULIET, TN 37122-4515
(615) 438-7097

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11924
TN

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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