Individual
COOPER GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 E COLUMBIA AVE, BATESBURG LEESVILLE, SC 29070-9285
(803) 332-4300
(803) 604-3263
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 332-4300
(803) 604-3263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82529
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2019
Last updated
07/11/2022
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