Organization
CUMBERLAND GASTROENTEROLOGY, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR ISSA COOK M.D. (PRESIDENT)
(606) 677-2913
Entity
Organization
Contact information
Practice address
1 SOUTHCREEK DRIVE, MONTICELLO, KY 42633
(606) 677-2913
(606) 677-6983
Mailing address
56 TOWER CIRCLE, SOMERSET, KY 42503
(606) 677-2913
(606) 677-6983
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34871
KY
363L00000X
Nurse Practitioner
2617P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64384712
—
KY
05
—
65933517
—
KY
Enumeration date
10/20/2006
Last updated
03/24/2011
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