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General NPI Number Information
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NPI Number | 1962947143
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Entity Type | Organization
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Legal Business Name | DR. J. KENNETH COOK, PC
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1050 BARBER CREEK DR STE 200
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City | WATKINSVILLE
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State | GA
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Zip | 30677-4502
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Country | US
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Telephone | 706-548-8984
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Fax | 706-383-7781
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Provider Business Mailing Address
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Address Line | 1050 BARBER CREEK DR STE 200
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City | WATKINSVILLE
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State | GA
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Zip | 30677-4502
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Country | US
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Telephone | 706-548-8984
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Fax | 706-383-7781
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Authorized Official
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Title or Position | OWNER
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Name | J. KENNETH COOK
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Credential |
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Telephone | 404-915-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR007190
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009579
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR005040
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License Number State | GA
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