Organization
VISAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR WATSON COOLER MD (OWNER)
(843) 339-9867
Entity
Organization
Contact information
Practice address
1411 SENECA TRL, HARTSVILLE, SC 29550
(843) 339-9867
Mailing address
1411 SENECA TRL, HARTSVILLE, SC 29550
(843) 339-9867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 16060
SC
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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