Individual
DESERIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
(865) 558-4471
Mailing address
256 FORT SANDERS WEST BLVD, STE. 200, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017871
—
TN
Enumeration date
09/11/2015
Last updated
01/18/2016
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