KOESHA COOK

Contractor

Active Individual
NPI: 1790193381

Practice Address

1700 MULKEY RD
Austell, GA 30106

Phone: (770) 941-5750

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes PTA002616 (GA)

Frequently Asked Questions

NPI 1790193381 is the National Provider Identifier for KOESHA COOK, a Contractor provider located in Austell, GA. This NPI was enumerated on July 27, 2014.
KOESHA COOK practices at 1700 MULKEY RD, Austell, GA 30106.

Quick Facts

NPI
1790193381
Type
Individual
Enumerated
Jul 27, 2014
Last Updated
Jul 27, 2014

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