DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOESHA TIERRA COOK

Active

KOESHA TIERRA COOK is a Contractor healthcare provider located in AUSTELL, Georgia. NPI 1790193381 is currently active in the NPPES registry. Verify at CMS.

Contractor · AUSTELL, GA

Registration Details

NPI Number
1790193381
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2014 (12.043792930636 yrs)
Last Updated
Jul 27, 2014
License
PTA002616 (GA)

Practice Information

Address
1700 MULKEY RD
AUSTELL, GA, 301061116
Browse GA providers · Browse ZIP 30106
Phone
7709415750
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in AUSTELL, GA

Name Credential NPI
MS. ANTOINETTE LEWIS 1720396070
CORTNEY YVONNE LUCAS WHITE CPC, CADS 1962157081
SHAHANA SEBOURNE-FRANCIS 1184514366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.