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NPI Code Detail

MEDICARE: WILLIAM A COOK III M.D.

MEDICARE: WILLIAM A COOK III M.D.
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
1207VX0000XObstetrics Physician0101044466VA

General Provider Information

NPI Number : 1336121052
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM A COOK III M.D.
Provider Business Mailing Address
First Line : 134 ELON RD
Second Line :
City : MADISON HEIGHTS
State : VA
Zip : 24572-2536
Country : US
Telephone Number : 434-455-2480
Fax Number : 434-455-2487
Provider Business Practice Location Address
First Line : 2402 ATHERHOLT RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-2148
Country : US
Telephone Number : 434-455-2480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/10/2022

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