# DR. MARK H COOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629048624
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 14261 | SC | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 10/22/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 142615 | — | SC |
| 01 | — | 180018446 | MEDICARE RAILROAD | SC |
| 01 | — | 3016069001 | CIGNA PROVIDER NUMBER | SC |
| 01 | — | 4385112 | AETNA PROVIDER NUMBER | SC |