Individual provider · Type 1 NPI

Samuel William Cook Iii, PAC

Physician Assistant · Johnson City, TN

NPI number 1033307939 Active

Practice location

2410 Susannah Street
Johnson City, TN 37601-1748

Call (423) 282-9011 Map

Fax (423) 282-0035

Mailing address

2410 Susannah St
Johnson City, TN 37601-1748

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X305 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033307939

Samuel William Cook Iii, PAC's National Provider Identifier is 1033307939, issued on Oct 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, TN. The record was last updated on Dec 16, 2019.