Provider Demographics
NPI:1285744722
Name:COOK, FRANK JEFFERSON JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JEFFERSON
Last Name:COOK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4535 WINTERS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30360
Mailing Address - Country:US
Mailing Address - Phone:678-580-1862
Mailing Address - Fax:678-909-0659
Practice Address - Street 1:4535 WINTERS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30360
Practice Address - Country:US
Practice Address - Phone:678-580-1862
Practice Address - Fax:678-909-0659
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2017-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA018125207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000197425AMedicaid
GA000197425AMedicaid