Most Relevant Information
Provider Data
| NPI Number: | 1003482993 |
| Provider Name: | DEMETRIUS COOK |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 29684 |
Most Important Dates
| Enumeration Date: | 06/01/2021 |
| Last Updated: | 08/01/2024 |
Provider Practice Location
7556 US HIGHWAY 70
BARTLETT
TN
381332686
Practice Location Phone/Fax
| Phone: | 9015523497 |
| Fax: | 5746359228 |
Provider Mailing Location
7556 US HIGHWAY 70
BARTLETT
TN
381332686
Provider Mailing Phone/Fax
| Phone: | 9015523497 |
| Fax: | 5746359228 |