Cook, Sharon Irene

Cook, Sharon Irene is an sole proprietor health care provider with primary practice located at 3618 N Hampton Dr Nw , Kennesaw GA 30144-1169. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cook, Sharon Irene can be contacted via phone (770) 422-0101.

Contact Information

Primary practice address
3618 N Hampton Dr Nw Kennesaw GA 30144-1169
Phone: (770) 422-0101
Fax: (770) 422-2097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1400 Georgia

Profile Details

NPI number 1730245085
LBN Legal business name Cook, Sharon Irene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Oct 15th, 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 1730245085 NPPES
Georgia MEDICAID 000624742C
Georgia Other 307628

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