Organization
CLARKE OCONEE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MITCHELL COOK D.O. (OWNER/MANAGER)
(706) 353-7747
Entity
Organization
Contact information
Practice address
700 SUNSET DR STE 400A, ATHENS, GA 30606-2293
(706) 353-7747
(706) 353-7756
Mailing address
PO BOX 7336, ATHENS, GA 30604-7336
(706) 353-7747
(706) 353-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467443713
NPI PHYSICIAN
GA
05
—
169764070A
—
GA
Enumeration date
08/02/2006
Last updated
11/13/2023
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