Individual
COOPER ELLIS STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
(843) 537-0060
Mailing address
710 CHESTERFIELD HWY, CHERAW, SC 29520-7001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28766
SC
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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