Individual
GAIL L COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12851 US HIGHWAY 90, GRAND BAY, AL 36541-5603
(251) 586-2187
Mailing address
10450 SMITH RD, GRAND BAY, AL 36541-6143
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CRANIAL PROSTHESIS
—
Enumeration date
10/29/2018
Last updated
10/29/2018
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