Individual
ROBERT MILTON COOK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STENNNIS SPACE CENTER SSC MEDICAL CLINIC, B1100 RM N180W, STENNIS SPACE CENTER, MS 39529-6000
(228) 688-3810
(228) 688-7565
Mailing address
213 N 24TH AVE, HATTIESBURG, MS 39401
(601) 545-8004
(601) 545-8004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06176
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115681
—
MS
Enumeration date
08/04/2006
Last updated
07/08/2007
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