Individual
JOSEPH H COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1220 TROTWOOD AVE, SUITE 401, COLUMBIA, TN 38401-6433
(931) 388-6550
(931) 388-6549
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303-A, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3665104
—
TN
05
—
3723206
—
TN
01
—
4163956
BCBST
TN
05
—
42955100
—
WI
Enumeration date
04/10/2006
Last updated
04/04/2008
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