Individual
MRS. REBECCA LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13741 NC HIGHWAY 50 STE A, SURF CITY, NC 28445-6935
(910) 777-2732
(910) 777-2742
Mailing address
13741 NC HIGHWAY 50 STE A, SURF CITY, NC 28445-6935
(910) 777-2732
(910) 777-2742
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03705
NC
Other
Enumeration date
09/17/2009
Last updated
07/06/2022
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