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NPI Code Detail

MEDICARE: ELISABETH STANGER COOK MD

MEDICARE: ELISABETH STANGER COOK 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
1207P00000XEmergency Medicine Physician21876NC

General Provider Information

NPI Number : 1376622670
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH STANGER COOK MD
Provider Business Mailing Address
First Line : 411 ALDERSON RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3101
Country : US
Telephone Number : 252-946-9946
Fax Number :
Provider Business Practice Location Address
First Line : 1380 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3431
Country : US
Telephone Number : 252-946-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 05/05/2021

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Directions to “ ELISABETH STANGER COOK MD” Practice Location

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