Individual
DR. MARK H COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 271-3354
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14261
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142615
—
SC
01
—
180018446
MEDICARE RAILROAD
SC
01
—
3016069001
CIGNA PROVIDER NUMBER
SC
01
—
4385112
AETNA PROVIDER NUMBER
SC
Enumeration date
01/24/2006
Last updated
10/22/2018
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