Cooke, Brian K

Cooke, Brian K is an individual health care provider with primary practice located at 2525 Cumberland Pkwy Se , Atlanta GA 30339-3915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Cooke, Brian K can be contacted via phone (352) 265-7041.

Contact Information

Primary practice address
2525 Cumberland Pkwy Se Atlanta GA 30339-3915
Fax: (352) 265-7983
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME106827 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D65149 Maryland
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 85249 Georgia

Profile Details

NPI number 1649302100
LBN Legal business name Cooke, Brian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2007
Last updated Apr 4th, 2024 - about 8 months 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 1649302100 NPPES
Florida MEDICAID 002445300

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