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NPI Code Detail

MEDICARE: DR. ROBERT DENNIS COOK D.C.

MEDICARE: DR. ROBERT DENNIS COOK D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor002445GA

General Provider Information

NPI Number : 1144366659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DENNIS COOK D.C.
Provider Business Mailing Address
First Line : PO BOX 433
Second Line :
City : TENNILLE
State : GA
Zip : 31089-0433
Country : US
Telephone Number : 478-552-2161
Fax Number : 478-552-3007
Provider Business Practice Location Address
First Line : 524 SPARTA RD
Second Line :
City : SANDERSVILLE
State : GA
Zip : 31082-1376
Country : US
Telephone Number : 478-552-2161
Fax Number : 478-552-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 09/19/2012

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