Individual
DR. HENRY LEE COOK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3527
(706) 322-3218
(706) 322-3219
Mailing address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3527
(706) 322-3218
(706) 322-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11986
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138190A
—
GA
Enumeration date
10/11/2006
Last updated
12/10/2014
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