Individual
EBONY JOY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10616 METROMONT PKWY STE 210, CHARLOTTE, NC 28269-7670
(704) 774-6569
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16130
NC
363A00000X
Physician Assistant
11485
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/27/2021
Last updated
01/20/2026
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