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Individual

ANDREW BRADLEY COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216843
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
88188
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8054245
NC
05
NAN105
SC
Enumeration date
12/16/2011
Last updated
11/08/2012
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