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:
Health care specialties
Specialty | Code | License # | 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 7 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 | 1558466235 | NPPES |
South Carolina | MEDICAID | 129195 |
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