| Sandy Tyrone Cooper, MD | |
|
2829 E Highway 76, Mullins, SC 29574-6035 | |
| (843) 431-2000 | |
| Not Available |
| Full Name | Sandy Tyrone Cooper |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 2829 E Highway 76, Mullins, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851369698 | NPI | - | NPPES |
| L12724 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15626 (South Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 15626 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Health Marion Medical Center | Mullins, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Carolina Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
| Entity Name | App Of South Carolina Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457878084 PECOS PAC ID: 3577821107 Enrollment ID: O20180103000650 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Tyrone Cooper, MD Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | Sandy Tyrone Cooper, MD 2829 E Highway 76, Mullins, SC 29574-6035 Ph: (843) 431-2000 |
Mark Carroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-497-5929 Fax: 843-497-9940 | |
Dr. Christo C Courban, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Lynn Barr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-497-5929 Fax: 843-497-9940 | |
Dr. Kenneth Carl Staples Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Stuart Alva Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-497-5929 Fax: 843-497-9940 |