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Individual

CAROLINE E COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2240 SUTHERLAND AVE, SUITE 104, KNOXVILLE, TN 37919-2333
(865) 909-0090
(865) 909-9883
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14796
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510113
TN
01
P00332273
RR MEDICARE PIN
TN
Enumeration date
06/27/2005
Last updated
03/11/2015
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