Individual
MARK C COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 BURLINGTON ST, SCOTTSBORO, AL 35768-4216
(256) 259-4100
(256) 259-4104
Mailing address
505 BURLINGTON ST, SCOTTSBORO, AL 35768-4216
(256) 259-4100
(256) 259-4104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051529856
—
AL
Enumeration date
05/16/2006
Last updated
07/30/2020
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