Individual
CARA ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 CLARK SOUND CIR, CHARLESTON, SC 29412-8431
(843) 793-8560
Mailing address
1518 CLARK SOUND CIR, CHARLESTON, SC 29412-8431
(843) 793-8560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1411
SC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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