| Stacie Cook And Associates,llc | |
|
2801 Buford Hwy Ste 109 Atlanta GA 30329 | |
| (404) 438-2347 | |
| Not Available |
| Full Name | Stacie Cook And Associates,llc |
|---|---|
| Speciality | Social Worker |
| Location | 2801 Buford Hwy, Atlanta, Georgia |
| Authorized Official Name and Position | Stacie Cook (CEO) |
| Authorized Official Contact | 4044382437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Cook And Associates,llc 2801 Buford Hwy Ste 109 Atlanta GA 30329 Ph: (404) 438-2347 | Stacie Cook And Associates,llc 2801 Buford Hwy Ste 109 Atlanta GA 30329 Ph: (404) 438-2347 |
| NPI Number | 1982943858 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 10/09/2013 |
| Medicare PECOS PAC ID | 1557508652 |
|---|---|
| Medicare Enrollment ID | O20130509000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982943858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003508 (Georgia) | Primary |
| Provider Name | Stacie Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992855431 PECOS PAC ID: 6800036351 Enrollment ID: I20130708000146 |
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