Individual
DR. JOHN REED COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 N 20TH ST BLDG 24, OPELIKA, AL 36801-5442
(334) 745-4646
(334) 745-0633
Mailing address
122 N 20TH ST BLDG 24, OPELIKA, AL 36801-5442
(334) 745-4646
(334) 745-0633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12200
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51019499
BCBS PROVIDER NUMBER
AL
Enumeration date
11/28/2006
Last updated
07/09/2007
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