Koesha Tierra Cook
Koesha Tierra Cook is a Contractor in Austell, Georgia. Licensed in Georgia. Registered with an NPI since 2014.
- Licensed in
- GA
- In the registry since
- 2014
Practice location Address checks out
1700 Mulkey RdAustell, GA 30106-1116
Phone: (770) 941-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X · Licence PTA002616 (GA) |
|---|
Record details
| NPI number | 1790193381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2014 |
| Last updated in NPPES | July 27, 2014 |
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