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
Phone: (352) 265-7041
Fax: (352) 265-7983
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649302100 | NPPES |
Florida | MEDICAID | 002445300 |
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