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Individual

MRS. SHANNON M COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
330-C PELHAM ROAD, SUITE B-102, GREENVILLE, SC 29615-2961
(864) 412-8424
Mailing address
330-C PELHAM ROAD, SUITE B-102, GREENVILLE, SC 29615-3534
(864) 412-8424
(864) 412-8012

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
08967
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
3302
SC

Other

Enumeration date
08/07/2007
Last updated
03/07/2023
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