Darrell, Thomas Cook

Darrell, Thomas Cook is an individual health care provider with primary practice located at 431 N Judd Pkwy Ne , Fuquay Varina NC 27526-2374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Darrell, Thomas Cook can be contacted via phone (919) 552-2292.

Contact Information

Primary practice address
431 N Judd Pkwy Ne Fuquay Varina NC 27526-2374
Phone: (919) 552-2292
Fax: (919) 557-7668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30142 North Carolina

Profile Details

NPI number 1023003134
LBN Legal business name Darrell, Thomas Cook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 9th, 2007 - 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 1023003134 NPPES
North Carolina Other 30142 STATE LICENSE NUMBER
North Carolina MEDICAID 8927074 STATE LICENSE NUMBER

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