Organization
COOPER CONSULTANT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHILEEN COOPER (OWNER)
(704) 614-9522
Entity
Organization
Contact information
Practice address
1419 MCMILLIAN RD, GREELEYVILLE, SC 29056
(704) 614-9522
Mailing address
1419 MCMILLIAN RD, GREELEYVILLE, SC 29056
(704) 614-9522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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