Nanette Cook Md Ob/gyn Pc | |
3692 Highlands Pkwy Se Smyrna GA 30082-5184 | |
(770) 431-2322 | |
(770) 431-2321 |
Full Name | Nanette Cook Md Ob/gyn Pc |
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Speciality | Clinic/Center |
Location | 3692 Highlands Pkwy Se, Smyrna, Georgia |
Authorized Official Name and Position | Nanette Cook (OWNER) |
Authorized Official Contact | 7704312322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nanette Cook Md Ob/gyn Pc 3692 Highlands Pkwy Se Smyrna GA 30082-5184 Ph: (770) 431-2322 | Nanette Cook Md Ob/gyn Pc 3692 Highlands Pkwy Se Smyrna GA 30082-5184 Ph: (770) 431-2322 |
NPI Number | 1780985739 |
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Provider Enumeration Date | 11/08/2010 |
Last Update Date | 12/08/2021 |
Medicare PECOS PAC ID | 1759578693 |
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Medicare Enrollment ID | O20101206000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780985739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 049139 (Georgia) | Primary |
Provider Name | Nanette N Cook |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346215837 PECOS PAC ID: 4587565254 Enrollment ID: I20040115000945 |
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