Individual
WILLIAM J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
7761
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081204
—
AL
01
—
051535099
BCBS
AL
01
—
051594922
BCBS
AL
05
—
105845
—
AL
01
—
220009714
RAILROAD MEDICARE
AL
01
—
220009714
RAILROAD MEDICARE
—
01
—
E45263
VIVA
AL
01
—
E45263
VIVA
—
Enumeration date
06/13/2006
Last updated
07/21/2011
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