Lisa M Cookingham, MD | |
2324 Sunset Blvd, West Columbia, SC 29169-4716 | |
(803) 726-3600 | |
(803) 929-0504 |
Full Name | Lisa M Cookingham |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
Location | 2324 Sunset Blvd, West Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134383128 | NPI | - | NPPES |
70192 | Other | AZ | TRAINING PERMIT |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Lisa M Cookingham, MD 2324 Sunset Blvd, West Columbia, SC 29169-4716 Ph: (803) 726-3600 | Lisa M Cookingham, MD 2324 Sunset Blvd, West Columbia, SC 29169-4716 Ph: (803) 726-3600 |
Mark Hedrick Salley, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7597 | |
Monique Mckiever, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-739-3570 Fax: 803-739-3575 | |
Dr. Rebecca Brazell Ridenhour, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd Ste 201, West Columbia, SC 29169 Phone: 803-254-1300 Fax: 803-771-7579 | |
Dr. Karenne Nstang Fru, M.D, PHD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Edward Davis Tarnawa, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2324 Sunset Blvd, West Columbia, SC 29169 Phone: 803-726-3600 Fax: 803-929-0504 | |
Dr. Janice Lynne Bacon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 300, West Columbia, SC 29169 Phone: 803-936-8100 Fax: 803-936-8130 |