Cook, Gerald Jerome

Cook, Gerald Jerome is an individual health care provider with primary practice located at 410 East Church Street , Fort Valley GA 31030. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cook, Gerald Jerome can be contacted via phone (478) 825-6499.

Contact Information

Primary practice address
410 East Church Street Fort Valley GA 31030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215477187
LBN Legal business name Cook, Gerald Jerome
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Feb 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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