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1851062012
EBONY JOY COOKE
WATKINSVILLE, GA
NPI
1851062012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 11485)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-09-27
Last Update Date
2024-06-25
Business Address
EBONY JOY COOKE
2061 EXPERIMENT STATION RD STE 505
WATKINSVILLE, GA 30677-5327
Phone number: 706-310-0324
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Mailing Address
EBONY JOY COOKE
2061 EXPERIMENT STATION RD
WATKINSVILLE, GA 30677-5328
Phone number: 919-559-6756
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