Individual
DR. TANA KATHRYN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
967 CEDAR LAKE RD, BILOXI, MS 39532-2128
(228) 205-6814
(228) 392-0864
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20540
MS
207Q00000X
Family Medicine Physician
Primary
20540
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05384293
—
MS
Enumeration date
05/16/2007
Last updated
07/27/2022
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