Individual
CASEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 WILSON RD, ROSSVILLE, GA 30741-3742
(423) 637-3506
Mailing address
3236 ARDIAN RD, CHATTANOOGA, TN 37412-1254
(423) 637-3506
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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