Individual
BLAIR DAVIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WALNUT ST, MACON, GA 31201-2635
(478) 755-1110
Mailing address
3727 MARSHALL MILL RD, BYRON, GA 31008-8417
(912) 531-7368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN215268
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN215268
GA
Other
Enumeration date
05/11/2023
Last updated
04/02/2025
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