Individual
AUSTIN TAYLOR COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP- BC
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
4218 GREEN SHANTY RD, OOLTEWAH, TN 37363-9024
(423) 424-9883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000212737
TN
363L00000X
Nurse Practitioner
Primary
32428
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
RN300745
GA
Other
Enumeration date
02/04/2021
Last updated
08/29/2023
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