Individual
MRS. TINA MARIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MANAGER
Contact information
Practice address
3059 N MAIN ST, HOPE MILLS, NC 28348-2798
(910) 491-6455
Mailing address
216 N. MCPHERSON CHURCH RD., FAYETTEVILLE, NC 28303
(706) 905-0163
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/25/2019
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