Provider Demographics
NPI:1881021343
Name:COOLER, MEREDITH (EDD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:COOLER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-2615
Mailing Address - Country:US
Mailing Address - Phone:843-784-8636
Mailing Address - Fax:843-784-8697
Practice Address - Street 1:150 HURRICANE VLY
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-4056
Practice Address - Country:US
Practice Address - Phone:843-784-8636
Practice Address - Fax:843-784-8697
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4559174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist