SHANNON RENEE COOK

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dr SHANNON RENEE COOK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011.

Contact

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

603 CAMPUS DR
SUITE 100
ABINGDON
VA
242109700

Tel: 2767398010

SHANNON RENEE COOK Information

Npi 1316212673
Pac Id 7618124595
Professional Enrollment Id I20120828000753
Last Name COOK
First Name SHANNON
Middle Name RENEE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 9739099441
Number Of Group Practice Members 340
Line 1 Street Address 603 CAMPUS DR
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242109700
Phone Number 2767398010
Hospital Affiliation Ccn 1 490038
Hospital Affiliation Lbn 1 SMYTH COUNTY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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