MEDICARE: DR. FRANK JEFFERSON COOK JR. MD

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
1	207RP1001X	Pulmonary Disease Physician	018125	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285744722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK JEFFERSON COOK JR. MD

Provider Business Mailing Address
First Line	:	4535 WINTERS CHAPEL RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30360
Country	:	US
Telephone Number	:	678-580-1862
Fax Number	:	678-909-0659

Provider Business Practice Location Address
First Line	:	4535 WINTERS CHAPEL RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30360
Country	:	US
Telephone Number	:	678-580-1862
Fax Number	:	678-909-0659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/22/2017

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