Individual
WYMAN COOK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9073 ALDBURY DR, LOCUST GROVE, GA 30248-2456
(770) 480-3604
Mailing address
9073 ALDBURY DR, LOCUST GROVE, GA 30248-2456
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
050335946
GA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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