Doctor Name: | SUMMER W BRYANT-COOK |
NPI Number: | 1548643620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN19596 |
Business Practice Address: | 316 2nd St Cheraw, SC - 295202404 |
Business Phone Number: | 8439214851 |
Business Fax Number: | 8439214854 |
Mailing Address: | 316 2nd St, CHERAW |
State: | SC |
Postal Code: | 295202404 |
Phone Number: | 8439214851 |
Fax Number: | 8439214854 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | APN19596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |