Most Relevant Information
Provider Data
| NPI Number: | 1003247230 |
| Provider Name: | BENJAMIN JOSEPH COOK PA-S |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2013 |
| Last Updated: | 12/13/2013 |
Provider Practice Location
5241 SPARKS RD
HAMPTONVILLE
NC
270208348
Practice Location Phone/Fax
| Phone: | 3362446640 |
| Fax: |
Provider Mailing Location
5241 SPARKS RD
HAMPTONVILLE
NC
270208348
Provider Mailing Phone/Fax
| Phone: | 3362446640 |
| Fax: |