Doctor Name: | MR. CHRISTOPHER JAMES COOPER |
NPI Number: | 1093146193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 504877923 |
Business Practice Address: | 109 Wheeler Rd Summerville, SC - 294831966 |
Business Phone Number: | 8039280230 |
Business Fax Number: | |
Mailing Address: | 109 Wheeler Rd, SUMMERVILLE |
State: | SC |
Postal Code: | 294831966 |
Phone Number: | 8039280230 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2013 |
NPI Last Update Date: | 11/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | 504877923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |