Individual
HENRY P COOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 MIDLAND PKWY STE A, SUMMERVILLE, SC 29485-8113
(843) 873-5577
(843) 873-5583
Mailing address
320 MIDLAND PKWY STE A, SUMMERVILLE, SC 29485-8113
(843) 873-5577
(843) 873-5583
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053480
—
SC
01
—
180002975
RAILROAD MEDICARE
SC
Enumeration date
04/20/2006
Last updated
09/08/2009
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