Organization
ADRIENNE COOPEY DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE COOPEY DO (OWNER)
(843) 452-5481
Entity
Organization
Contact information
Practice address
1 CARRIAGE LN STE J, CHARLESTON, SC 29407-6060
(843) 573-5050
(843) 573-5030
Mailing address
1 CARRIAGE LN STE J, CHARLESTON, SC 29407-6060
(843) 573-5050
(843) 573-5030
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
701
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007012
—
SC
Enumeration date
02/25/2008
Last updated
02/25/2008
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