Individual
DANIEL HARRISON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4444
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.069985
IL
2085R0202X
Diagnostic Radiology Physician
Primary
52676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.069985
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
03/27/2017
Last updated
08/15/2022
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