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Contact Information

STACY C COOK JR, CBRPA RPA
6847 KERRY VALLEY LN
CORDOVA, TN38018-2848
 Phone: 435-224-4906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology Practitioner Assistant

243U00000X
Indicates primary specialty

NPI Profile & details for STACY C COOK JR · (Male)

NPI Number 1306277280
Status Active
Credentials CBRPA RPA
Entity Individual
Enumeration date 12/03/2013
Last updated 12/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 5614785-5400
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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