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NPI Code Detail

MEDICARE: STEPHANIE COOK

MEDICARE: STEPHANIE COOK
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
1367500000XCertified Registered Nurse AnesthetistRN117724GA

Other Identifiers

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

General Provider Information

NPI Number : 1629574827
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE COOK
Provider Business Mailing Address
First Line : 200 SCARLET WAY
Second Line :
City : LEESBURG
State : GA
Zip : 31763-5996
Country : US
Telephone Number : 229-854-2052
Fax Number :
Provider Business Practice Location Address
First Line : 417 W 3RD AVE
Second Line :
City : ALBANY
State : GA
Zip : 31701-1943
Country : US
Telephone Number : 229-854-2052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2018
Last Update Date : 05/08/2026

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Directions to “ STEPHANIE COOK ” Practice Location

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