Individual
WILLIAM R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295A MIDLAND PKWY, SUITE 140, SUMMERVILLE, SC 29485-8104
(843) 851-3800
(843) 851-7787
Mailing address
295A MIDLAND PKWY, SUITE 140, SUMMERVILLE, SC 29485-8104
(843) 851-3800
(843) 851-7787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6106
SC
207RP1001X
Pulmonary Disease Physician
6106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061060
—
SC
01
—
110073909
RAILROAD MEDICARE GA
SC
Enumeration date
04/07/2006
Last updated
03/24/2016
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