Individual
TYLER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST # BI-2183, AUGUSTA, GA 30912-0006
(706) 721-0180
Mailing address
528 GRAY CATBIRD WAY, WARRENVILLE, SC 29851-3095
(540) 312-9870
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13759
GA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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