Cooper-Merchant, Eugenia Gainzeo

Cooper-Merchant, Eugenia Gainzeo is an individual health care provider with primary practice located at 100 Professional Park Dr , Conway SC 29526-9260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cooper-Merchant, Eugenia Gainzeo can be contacted via phone (843) 234-0005.

Contact Information

Primary practice address
100 Professional Park Dr Conway SC 29526-9260
Phone: (843) 234-0005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20544 South Carolina

Profile Details

NPI number 1558466235
LBN Legal business name Cooper-Merchant, Eugenia Gainzeo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 13th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558466235 NPPES
South Carolina MEDICAID 129195

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