Individual
COOPER HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 PHYSICIANS DR STE B, GREER, SC 29650-2446
(864) 797-9171
Mailing address
109 PHYSICIANS DR STE B, GREER, SC 29650-2446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL85762
SC
Other
Enumeration date
04/09/2021
Last updated
07/28/2021
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