Individual
TRAVIS ALAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST MAR RDR BN MRR MARFORSOC, CAMP LEJEUNE, NC 28542
(910) 440-3136
Mailing address
204 EGRET POINT DR, SNEADS FERRY, NC 28460-9464
(956) 279-0404
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
07222805TC
NC
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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