Individual provider · Type 1 NPI

Madison Dail Cooper

Critical Care Medicine Registered Nurse · Charleston, SC

NPI number 1164313607 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-8908

Mailing address

1365 Cashua Ferry Rd
Darlington, SC 29532-8713

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X248062 (SC)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1164313607

Madison Dail Cooper's National Provider Identifier is 1164313607, issued on Jul 12, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charleston, SC. The record was last updated on Jul 12, 2025.