Individual
DR. BRIAN C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 BEAMAN STREET, CLINTON, NC 28328
(910) 590-2065
(910) 590-2964
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0001X
Radiation Oncology Physician
Primary
2006-01181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168736
GATEWAY HEALTH
NC
05
—
5904526
—
NC
01
—
9149123
AETNA
NC
01
—
CIGNA
1960083
NC
01
—
P01016588
RAILROAD MEDICARE
NC
Enumeration date
07/18/2006
Last updated
10/20/2016
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