JEZERIAH WAYNE COOK

HAMPTON, VA
NPI1225066517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110002140)
Enumeration Date2006-06-28
Last Update Date2014-05-16
Business Address
MR. JEZERIAH WAYNE COOK PA-C
9 MANHATTAN SQ STE A
HAMPTON, VA 23666-6262
Phone number: 757-838-6335
Mailing Address
MR. JEZERIAH WAYNE COOK PA-C
9 MANHATTAN SQ STE A
HAMPTON, VA 23666-6262
Phone number: 757-838-6335
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