Individual
MR. HUNTER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5501 FORTUNES RIDGE DR STE P, DURHAM, NC 27713-6102
(919) 391-7202
Mailing address
5501 FORTUNES RIDGE DR STE P, DURHAM, NC 27713-6102
(919) 391-7202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13507
NC
363A00000X
Physician Assistant
4594
TN
Other
Enumeration date
09/19/2017
Last updated
10/16/2023
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