Cook (variantly spelled Cooke) attended the medical school at the University of Pennsylvania in 1851-1852. although apparently did not complete his medical degree. He was appointed assistant surgeon of the 12th NC regiment on August 31, 1862. In January 1865, he was stationed near Petersburg, VA and assigned to the 30th NC regiment.
He was practicing medicine in his native town of Warrenton, NC in 1870, and by 1880 had moved to Durham, NC where he practiced until his death on Feb. 14, 1888. He is buried in Warrenton's Fairview Cemetery. A Warrenton history indicates he had lived in Alabama prior to 1870.
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