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Individual

DR. SHARON P COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
510 WATERVIEW COURT, FAYETTEVILLE, NC 28301-3347
(910) 488-9304
(910) 488-8705
Mailing address
2817 REILLY ROAD, MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9600080
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891041R
NC
Enumeration date
11/08/2006
Last updated
08/30/2007
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