Doctor Name: | RHONDA L COOK |
NPI Number: | 1699752345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN896 |
Business Practice Address: | 600 N Wheeler Ave Prosperity, SC - 29127 |
Business Phone Number: | 8033644852 |
Business Fax Number: | 8033642014 |
Mailing Address: | Po Box 630, 600 N Wheeler Ave PROSPERITY |
State: | SC |
Postal Code: | 291270630 |
Phone Number: | 8033644852 |
Fax Number: | 8033642014 |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 10/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |