MEDICARE: CHRISTOPHER A COOPER MD

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
1	208M00000X	Hospitalist Physician	40974	SC
2	207R00000X	Internal Medicine Physician	40974	SC

General Provider Information

NPI Number	:	1932511151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER A COOPER MD

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 OLD CHAPIN RD
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2030
Country	:	US
Telephone Number	:	803-629-1900
Fax Number	:	803-399-1597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	09/01/2022

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Directions to “ CHRISTOPHER A COOPER MD” Practice Location

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