Cooper, Marion Leslie
Cooper, Marion Leslie is an individual health care provider with primary practice located at 8901 University Blvd , N Charleston SC 29406-9116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooper, Marion Leslie can be contacted via phone (843) 203-2245.Contact Information
Primary practice address
8901 University Blvd
N Charleston SC 29406-9116
Phone: (843) 203-2245
Fax: (843) 203-2244
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30037 | South Carolina |
Profile Details
NPI number | 1194922963 |
---|---|
LBN Legal business name | Cooper, Marion Leslie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2007 |
Last updated | Apr 23rd, 2021 - about 4 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 | 1194922963 | NPPES |
South Carolina | MEDICAID | 300374 |
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