Doctor Name: | BARBARA ANN COOK |
NPI Number: | 1003078262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 3621 |
Business Practice Address: | 2475 Broad St Sumter, SC - 291501820 |
Business Phone Number: | 8037786555 |
Business Fax Number: | 8037738226 |
Mailing Address: | 4416 Forest Dr, COLUMBIA |
State: | SC |
Postal Code: | 292063104 |
Phone Number: | 8037824278 |
Fax Number: | 8037823445 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SG0600X |
License Number: | 3621 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |