Individual
DR. MARK WILLIAM COOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 E WARREN ST, SUITE B, SHELBY, NC 28150-2611
(704) 487-0656
Mailing address
215 E WARREN ST, SUITE B, SHELBY, NC 28150-2611
(704) 487-0656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08375
BCBS
NC
05
—
8908375
—
NC
Enumeration date
08/16/2005
Last updated
07/08/2007
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