Cook, Roddy Dean

Cook, Roddy Dean is an individual health care provider with primary practice located at 1245 Westgate Pkwy , Dothan AL 36303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cook, Roddy Dean can be contacted via phone (334) 793-9595.

Contact Information

Primary practice address
1245 Westgate Pkwy Dothan AL 36303
Phone: (334) 793-9595
Fax: (334) 793-1578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5379 Alabama

Profile Details

NPI number 1659358943
LBN Legal business name Cook, Roddy Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Aug 11th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659358943 NPPES
Alabama Other 051001434 BLUE CROSS
Alabama MEDICAID 000001434 BLUE CROSS
Alabama MEDICAID 000018989 BLUE CROSS
Alabama Other 051018918 BLUE CROSS

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