Individual
CEDRIC COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
647 S WASHINGTON ST, RIPLEY, TN 38063-2044
(731) 635-4800
(731) 635-4801
Mailing address
647 S WASHINGTON ST, RIPLEY, TN 38063-2044
(731) 635-4800
(731) 635-4801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
628
TN
213E00000X
Podiatrist
PD0142
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353992
—
TN
Enumeration date
01/27/2006
Last updated
09/23/2025
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