Roberta Cook

NPI 1104110279 - Clinic/Center - 261QU0200X

NPI Details
NPI 1104110279
Enumeration Date 06/06/2011
Last Updated 08/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERTA ROBERTA
Position MEDICAL DIRECTOR
Phone (828) 898-4091
Fax (828) 898-4096
Practice Location
108 PARK AVE
BANNER ELK NC, 28604-6604, US
Phone (828) 898-4091
Fax (828) 898-4096
Business Location
PO BOX 278
BANNER ELK NC, 28604-0278, US
Phone (828) 898-4091
Fax (828) 898-4096
Toxanomy
Taxonomy Code 261QU0200X
License State North Carolina
License Number 9601582
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According to our database, Roberta Cook NPI is 1104110279, taxonomy code is 261QU0200X and license number is 9601582, license state is located at North Carolina. Roberta Cook physically located at 108 Park Ave, Banner Elk NC, 28604-6604. NPI Number 1033115704 has the healthcare provider type.

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1104110279 NPI number is provided on an as is basis without warranty of any kind. 1104110279 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta Cook are for informational purposes only.