Provider Demographics
NPI:1346215837
Name:COOK, NANETTE NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANETTE
Middle Name:NICOLE
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3692 HIGHLANDS PKWY SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5184
Mailing Address - Country:US
Mailing Address - Phone:770-431-2322
Mailing Address - Fax:770-431-2321
Practice Address - Street 1:3692 HIGHLANDS PKWY SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-5184
Practice Address - Country:US
Practice Address - Phone:770-431-2322
Practice Address - Fax:770-431-2321
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2021-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA049139207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology