Cooper, Pansy J

Cooper, Pansy J is an individual health care provider with primary practice located at 241 Singleton Ridge Road, Suite B Main Street Physicians, Conway SC 29526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cooper, Pansy J can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
241 Singleton Ridge Road, Suite B Main Street Physicians Conway SC 29526
Phone: (800) 491-0909
Fax: (843) 347-7232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN2336 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN2336 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2336 South Carolina

Profile Details

NPI number 1215046339
LBN Legal business name Cooper, Pansy J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 1st, 2022 - about 2 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 1215046339 NPPES
South Carolina MEDICAID NP0452
South Carolina Other P00155306

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