Individual
RHONDA ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 SIGMAN RD NE STE 180, CONYERS, GA 30012-3924
(770) 922-4024
Mailing address
4181 HOSPITAL DR NE STE 10, COVINGTON, GA 30014-2541
(770) 385-8954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RN219261
GA
363L00000X
Nurse Practitioner
Primary
RN219261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN219261
STATE LICENSE
GA
Enumeration date
01/11/2018
Last updated
10/20/2023
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