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Contact Information

CHARLES A DECOOK, MD
2000 HOWARD FARM DR STE 200
CUMMING, GA30041-6081
 Phone: 770-292-6500
 Fax: 770-292-6535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES A DECOOK · (Male)

NPI Number 1386794113
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 63576
  • NC License # 200301449
  • VA License # 0101245422
  • GA Medicaid 509140519A
  • GA Medicaid 509140519B
  • GA Medicaid 509140519C
  • GA Medicaid 509140519O
  • GA Medicaid 509140519P
  • GA Medicaid 509140519Q
  • NC Medicaid 89136RR
  • GA Other 9485152 AETNA
  • GA Other 01353242 AMERIGROUP
  • GA Other 52241691 BCBS
  • GA Other 7493615 CIGNA
  • GA Other P00903599 MEDICARE RAILROAD
  • GA Other P01659745 RR MEDICARE
  • GA Other P01726634 RR MEDICARE
  • GA Other 557507 WELLCARE
  • VA Other 0101245422 LICENSE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
  • UNION GENERAL HOSPITAL - (Acute Care)
    35 HOSPITAL ROAD
    BLAIRSVILLE, GA 30512
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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