Provider Demographics
NPI:1457550154
Name:COOK, HEATHER M (MD)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-883-5800
Mailing Address - Fax:843-606-3937
Practice Address - Street 1:1375 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-883-5800
Practice Address - Fax:843-606-3937
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36598207VE0102X
GA77592207VE0102X
SCMD36598207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology