Individual
TODD M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9285
(205) 975-6377
Mailing address
2015 UPPERGATE DR, ATLANTA, GA 30322-0001
(404) 785-1200
(404) 785-1879
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
061411
GA
2080P0207X
Pediatric Hematology & Oncology Physician
DO-646
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962845
—
AL
05
—
009963675
—
AL
Enumeration date
08/23/2006
Last updated
12/12/2013
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