Most Relevant Information
Provider Data
| NPI Number: | 1003247354 |
| Provider Name: | ANTHONY COOK DDP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2013 |
| Last Updated: | 12/11/2013 |
Provider Practice Location
1230 2ND AVE
COLUMBUS
GA
319015241
Practice Location Phone/Fax
| Phone: | 7063219606 |
| Fax: | 7063226576 |
Provider Mailing Location
PO BOX 5328
COLUMBUS
GA
319060328
Provider Mailing Phone/Fax
| Phone: | 7063219606 |
| Fax: | 7063226576 |