Organization
DOCKSIDE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN PAUL COOK DO (CO-OWNER/MANAGER)
(910) 399-1954
Entity
Organization
Contact information
Practice address
5710 OLEANDER DR STE 207, WILMINGTON, NC 28403-4722
(910) 399-1954
(910) 399-2702
Mailing address
5710 OLEANDER DR STE 207, WILMINGTON, NC 28403-4722
(910) 399-1954
(910) 399-2702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164545984
NPI
—
01
—
1396918926
NPI
—
Enumeration date
07/12/2018
Last updated
02/02/2022
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