| H. Russell Cook, D.o. | |
|
207 E Watts St Suite 220 Enterprise AL 36330-1801 | |
| (334) 393-1056 | |
| (334) 393-6187 |
| Full Name | H. Russell Cook, D.o. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 207 E Watts St, Enterprise, Alabama |
| Authorized Official Name and Position | H. Russell Cook (OWNER) |
| Authorized Official Contact | 3343931056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Russell Cook, D.o. Po Box 310210 Enterprise AL 36331-0210 Ph: (334) 393-1056 | H. Russell Cook, D.o. 207 E Watts St Suite 220 Enterprise AL 36330-1801 Ph: (334) 393-1056 |
| NPI Number | 1710322987 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710322987 | NPI | - | NPPES |
| 000014819 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO126 (Alabama) | Primary |
Professional Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
By His Grace Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
David H. Hayes, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Glover Ave, Suite B, Enterprise, AL 36330 Phone: 334-347-0991 Fax: 334-347-1805 | |
New Horizons Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Rucker Blvd Ste A, Enterprise, AL 36330 Phone: 334-347-4343 Fax: 334-393-9611 | |
Hillside Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330 Phone: 334-475-2067 | |
Fast Pace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1026 Boll Weevil Circle, Enterprise, AL 36330 Phone: 931-253-1110 | |
Stephen R Brandt Md Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 |