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Contact Information

JUSTIN T COOKE, MD
3477 LOWERY PKWY STE 137
FULTONDALE, AL35068
 Phone: 205-379-6040
 Fax: 205-379-6039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JUSTIN T COOKE · (Male)

NPI Number 1285820936
Status Active
Credentials MD
Entity Individual
Enumeration date 09/17/2007
Last updated 01/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AL License # MD.35125
  • TN License # 46351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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