Provider / Organization | NPI | Date Certified |
---|---|---|
ZANDRAETTA L TIMS-COOK | 1538216338 | 2023-02-12 |
Zandraetta L Tims-cook [F] graduated in 2005 from Js Weill Medical College, Cornell University and primarily specializes in Infectious Disease.
Zandraetta L Tims-cook is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538216338. Registration indicates Zandraetta L Tims-cook is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Infectious Disease, ) (Specialist Network, ) (Internal Medicine Infectious Disease, Allopathic & Osteopathic Physicians) (Internal Medicine, )
PECOS ID | 9234322710 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Zandraetta L Tims-cook MD, MPH |
Practice Office Address | 2193 CASCADE RD SW ATLANTA, GA US |
Practice Office Telephone | 8448849691 |
Practice Office Fax | 4049074052 |
Mailing Address | 3939 LAVISTA RD # 310 TUCKER, GA 300845162 US |
Business Telephone | 8448849691 |
Business Fax | 4049074052 |
Code | Practice | License No State |
---|---|---|
207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 63616
GA |
207RI0200X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Infectious Disease Specialist Network Internal Medicine Infectious Disease Allopathic & Osteopathic Physicians Internal Medicine | 63616
GA |