Individual
DR. JAY BRANDON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
Mailing address
1329 SW 16TH ST, ROOM 2232, GAINESVILLE, FL 32611
(352) 559-5051
(352) 265-8018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
073258
GA
207X00000X
Orthopaedic Surgery Physician
MD-16199
HI
207X00000X
Orthopaedic Surgery Physician
Primary
ME150465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156963B
—
GA
Enumeration date
06/30/2009
Last updated
05/27/2021
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