Individual
DR. JOHN R COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3809
(803) 644-8900
(803) 644-8995
Mailing address
2110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3809
(803) 644-8900
(803) 644-8995
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11685
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E929440282
MCR/MCCORMICK OFFICE
SC
05
—
GP2477
—
SC
Enumeration date
06/08/2005
Last updated
08/29/2019
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