Individual
DR. JOLANDA IRMA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
617 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 628-1186
(276) 628-8507
Mailing address
617 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 628-1186
(276) 628-8507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010154523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005641802
—
VA
01
—
03
JD
—
01
—
2102748
MAMSI
—
01
—
226900
ANTHEM
—
01
—
5756306
AETNA
—
Enumeration date
10/14/2005
Last updated
05/15/2012
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