Healthcare Provider Details

I. General information

NPI: 1497704423
Provider Name (Legal Business Name): FRANK ANTHONY CUOCO JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9313 MEDICAL PLAZA DR STE 305
CHARLESTON SC
29406-9197
US

IV. Provider business mailing address

9313 MEDICAL PLAZA DR STE 305
CHARLESTON SC
29406-9197
US

V. Phone/Fax

Practice location:
  • Phone: 843-863-5600
  • Fax: 843-553-2123
Mailing address:
  • Phone: 843-863-5600
  • Fax: 843-553-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number28932
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number28932
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: