Individual
TAMARA CHRISTINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
(864) 253-8140
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19894
SC
363LF0000X
Family Nurse Practitioner
2015021806
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5211
—
SC
01
—
SCC6625019
MEDICARE PIN
SC
Enumeration date
01/06/2018
Last updated
07/21/2022
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