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NPI Code Detail

MEDICARE: CHRISTIAN SMITH COOK M.D.

MEDICARE: CHRISTIAN SMITH COOK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician19631SC

General Provider Information

NPI Number : 1861499295
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN SMITH COOK M.D.
Provider Business Mailing Address
First Line : 851 LEONARD FULGHUM DR
Second Line : SUITE 200
City : MT PLEASANT
State : SC
Zip : 29464-3787
Country : US
Telephone Number : 843-856-3262
Fax Number :
Provider Business Practice Location Address
First Line : 851 LEONARD FULGHUM DR
Second Line : SUITE 200
City : MT PLEASANT
State : SC
Zip : 29464-3787
Country : US
Telephone Number : 843-856-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 09/19/2014

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Directions to “ CHRISTIAN SMITH COOK M.D.” Practice Location

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