Individual
BRIAN FLETCHER COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2294 OTRANTO RD, NORTH CHARLESTON, SC 29406-9603
(843) 225-2550
(843) 225-2590
Mailing address
2294 OTRANTO RD, NORTH CHARLESTON, SC 29406-9603
(843) 225-2550
(843) 225-2590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811267925
GROUP NPI
SC
Enumeration date
04/12/2010
Last updated
07/23/2012
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