Individual
DR. TYRUS SANTEETLAH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
476 MEETING ST STE C, CHARLESTON, SC 29403
(843) 723-6475
(843) 722-4845
Mailing address
476 MEETING ST STE C, CHARLESTON, SC 29403-4841
(843) 723-6475
(843) 722-4845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2426
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225134992
—
SC
05
—
46-5759177
—
SC
Enumeration date
06/30/2006
Last updated
07/09/2018
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