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Individual

CAROLYN JEAN COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25 W MAIN ST, AUSTIN, IN 47102
(812) 794-8100
(812) 794-8200
Mailing address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(659) 739-2947
(765) 973-9233

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056482A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200392240
IN
01
P00046422
RAILROAD MEDICARE
IN
Enumeration date
06/10/2006
Last updated
04/28/2026
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