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Individual

DR. CORY EDWARD COOKINGHAM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6878
(912) 435-6626

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4301052117
MI
207K00000X
Allergy & Immunology Physician
Primary
5315125543
MI

Other

Enumeration date
05/24/2006
Last updated
02/08/2024
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