Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 36598 | SC |
N | 207VE0102X | Reproductive Endocrinologist | 77592 | GA |
N | 207VE0102X | Reproductive Endocrinologist | MD36598 | SC |
NPI | 1457550154 |
---|---|
Provider Name | Mrs. Heather M Cook |
First Address | Mt Pleasant, SC 29464 |
Second Address | Mt Pleasant, SC 29464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 31/03/2017 |