Cooper, Tina Wynn

Cooper, Tina Wynn is an sole proprietor health care provider with primary practice located at 243 Rexford Dr , Moore SC 29369-9477. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Cooper, Tina Wynn can be contacted via phone (864) 580-1327.

Contact Information

Primary practice address
243 Rexford Dr Moore SC 29369-9477
Phone: (864) 580-1327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X South Carolina

Profile Details

NPI number 1477215457
LBN Legal business name Cooper, Tina Wynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2021
Last updated Oct 7th, 2021 - about 5 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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