Cook, Mavis Rebecca
Cook, Mavis Rebecca is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cook, Mavis Rebecca can be contacted via phone (843) 777-8752.Contact Information
Primary practice address
555 E Cheves St
Florence SC 29506-2617
Phone: (843) 777-8752
Fax: (843) 777-8705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN473 | South Carolina |
Profile Details
| NPI number | 1922067206 |
|---|---|
| LBN Legal business name | Cook, Mavis Rebecca |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 1st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922067206 | NPPES |
| South Carolina | MEDICAID | AN0066 |
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