Individual
LEROY KENNETH COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 330, GREENVILLE, SC 29605-4247
(864) 232-1112
(864) 233-1204
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123431
—
SC
01
—
160041955
RR MEDICARE
SC
01
—
4481880
AETNA
SC
01
—
571004971010
BCBS
SC
Enumeration date
06/27/2006
Last updated
09/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us