Cook, Rebecca Pendergrass
Cook, Rebecca Pendergrass is an individual health care provider with primary practice located at 900 W Faris Rd , Greenville SC 29605-4255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Cook, Rebecca Pendergrass can be contacted via phone (864) 455-8898.Contact Information
Primary practice address
900 W Faris Rd
Greenville SC 29605-4255
Phone: (864) 455-8898
Fax: (864) 455-5164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 25132 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 28144 | Alabama |
Profile Details
| NPI number | 1194756726 |
|---|---|
| LBN Legal business name | Cook, Rebecca Pendergrass |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 1st, 2018 - about 6 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 | 1194756726 | NPPES |
| South Carolina | MEDICAID | 251328 |
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