Healthcare Provider Details

I. General information

NPI: 1194744920
Provider Name (Legal Business Name): JEFFREY W COOK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 ASPEN GROVE DR SUITE 102
FRANKLIN TN
37067-2836
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-1116
  • Fax: 615-771-1140
Mailing address:
  • Phone: 615-329-2294
  • Fax: 615-695-1494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number21911
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: