Individual ProviderBarbara Ann CookNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2475 Broad St, Sumter, SC 29150-1820(803) 778-6555(803) 782-4278PECOS EnrollmentBased on the most recent information from CMS, provider Barbara Ann Cook does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1003078262Provider TypeIndividualFull NameCook, Barbara AnnCredentialN.P.GenderFemaleSole ProprietorNoEnumeration Date6/30/2008Last Updated6/30/2008Contact InformationPractice LocationPractice Address2475 Broad St, Sumter, SC 29150-1820Phone(803) 778-6555Fax(803) 773-8226Mailing LocationMailing Address4416 Forest Dr, Columbia, SC 29206-3104Phone(803) 782-4278Fax(803) 782-3445Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3621South CarolinaCode364SG0600XDescriptionClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing ProvidersLicense3621South Carolina