Individual
SARAH R COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4278 LADSON RD, LADSON, SC 29456-5452
(843) 203-2240
(843) 203-2241
Mailing address
PO BOX 632516, CINCINNATI, OH 45263-2516
(888) 472-0043
(513) 653-4122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2310
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200PA
—
SC
01
—
2310
LICENSE NUMBER
SC
Enumeration date
03/30/2015
Last updated
05/04/2026
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