Individual
DR. MARION LESLIE COOPER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 RIVERS AVE, N CHARLESTON, SC 29406-6338
(843) 789-1786
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300374
—
SC
Enumeration date
06/27/2007
Last updated
01/12/2025
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