Individual
NICHOLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 SHARON ST NW, ATLANTA, GA 30314-2465
(404) 484-1691
Mailing address
1370 SHARON ST NW, ATLANTA, GA 30314-2465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
783368
CA
163W00000X
Registered Nurse
Primary
RN195969
GA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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