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NPI Code Detail

MEDICARE: SHARON ANN COOK R, MR

MEDICARE: SHARON ANN COOK R, MR
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
1247100000XRadiologic TechnologistRTL6339AR
22471M1202XMagnetic Resonance Imaging Radiologic Technologist206841

General Provider Information

NPI Number : 1700801164
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ANN COOK R, MR
Provider Business Mailing Address
First Line : 127 FOXDELL CIR
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72076-2608
Country : US
Telephone Number : 501-985-9777
Fax Number :
Provider Business Practice Location Address
First Line : 2019 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4725
Country : US
Telephone Number : 501-368-0653
Fax Number : 501-368-0658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 09/11/2025

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