IndividualActive
Connie Cook, PAC
NPI 1164426128 · Medical Physician Assistant · Man, WV
Provider details
- NPI number
- 1164426128
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 626 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
600 E Mcdonald Ave
Man, WV 25635-1097
Phone: (304) 583-6541
Fax: (304) 583-6018
Approximate (ZIP-level) locationGet directions
Mailing address
1650 Main Street
Pineville, WV 24874-1650
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2010-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.