Organization
COOKE'S CONTINENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARIE COOKE WHNP-BC (WOMEN'S HEALTH NURSE PRACTITIONER)
(864) 412-8424
Entity
Organization
Contact information
Practice address
330-C PELHAM ROAD, SUITE B-102, GREENVILLE, SC 29615-2961
(864) 412-8424
(864) 412-8012
Mailing address
330-C PELHAM ROAD, SUITE B-102, GREENVILLE, SC 29615-3534
(864) 412-8424
(864) 412-8012
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3302
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619168473
INDIVIDUAL NPI
SC
01
—
3302
SC STATE LICENSE
SC
Enumeration date
02/18/2017
Last updated
03/07/2023
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