EBONY JOY COOKE

WATKINSVILLE, GA
NPI1851062012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  11485)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-09-27
Last Update Date2024-06-25
Business Address
EBONY JOY COOKE
2061 EXPERIMENT STATION RD STE 505
WATKINSVILLE, GA 30677-5327
Phone number: 706-310-0324
Mailing Address
EBONY JOY COOKE
2061 EXPERIMENT STATION RD
WATKINSVILLE, GA 30677-5328
Phone number: 919-559-6756