Healthcare Provider Details

I. General information

NPI: 1639868870
Provider Name (Legal Business Name): PARIS COOKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 NORTHWOOD DR
CENTRE AL
35960-1045
US

IV. Provider business mailing address

395 NORTHWOOD DR
CENTRE AL
35960-1045
US

V. Phone/Fax

Practice location:
  • Phone: 256-927-4900
  • Fax:
Mailing address:
  • Phone: 256-927-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.49514
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: