H. RUSSELL COOK, P.C.
Ambulatory Health at Watts St, Enterprise, AL

License number
Alabama DO126
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. H. RUSSELL COOK D.O.
Title: OWNER
Phone: (334) 393-1056
Address
Address
207 E Watts St SUITE 220, Enterprise, AL 36330
National Provider ID: 1710322987
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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H. Russell Cook, PC

Enterprise, AL

Registration:
Dec 14, 1988
State ID:
127-802
Business type:
Domestic Professional Corporation
Formation place:
Coffee County
Incorporator:
H Russell Cook (incorporator)
Agent:
H Suite Bldg B Hillcrest Med Plaza Cook,Enterprise, AL 36330 (Physical)

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