Sean Tristan Lawrence Cook D.O.

NPI 1083811475 - Internal Medicine - 207R00000X

NPI Details
NPI 1083811475
Gender Male
Enumeration Date 06/28/2007
Last Updated 04/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4500 STUART ST
COLUMBIA SC, 29207-5700, US
Phone (803) 751-2485
Fax
Business Location
1001 PEPPER RIDGE CT
LUGOFF SC, 29078-9652, US
Phone (706) 726-2936
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 64201
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According to our database, Dr. Sean Tristan Lawrence Cook D.O. NPI is 1083811475, taxonomy code is 207R00000X and license number is 64201, license state is located at Georgia. Sean Tristan Lawrence Cook D.O. physically located at 4500 Stuart St, Columbia SC, 29207-5700. NPI Number Sean Tristan Lawrence Cook D.O. has the Individual type.

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1083811475 NPI number is provided on an as is basis without warranty of any kind. 1083811475 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Tristan Lawrence Cook D.O. are for informational purposes only.