Individual
ALLEN T COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
809 N CEDAR ST, SUMMERVILLE, SC 29483-6605
(843) 871-9440
(843) 871-5932
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7217
—
SC
Enumeration date
07/22/2020
Last updated
07/06/2021
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