Samuel William Cook III, PAC
NPI #1033307939 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1033307939
- Entity Type
- Individual
- Name
- Samuel William Cook III, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Oct 5, 2007
- Last Updated
- Dec 16, 2019
Practice Location
- Address
- 2410 SUSANNAH STREET
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1748
- Phone
- (423) 282-9011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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