Cooper, Sandy Tyrone

Cooper, Sandy Tyrone is an individual health care provider with primary practice located at 2829 E Highway 76 , Mullins SC 29574-6035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cooper, Sandy Tyrone can be contacted via phone (843) 431-2000.

Contact Information

Primary practice address
2829 E Highway 76 Mullins SC 29574-6035
Phone: (843) 431-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15626 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15626 South Carolina

Profile Details

NPI number 1851369698
LBN Legal business name Cooper, Sandy Tyrone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 24th, 2021 - about 3 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 1851369698 NPPES
South Carolina MEDICAID L12724

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