Organization
COOPER SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HAYDEN COOPER M.D. (OWNER THORACIC SURGEON)
(865) 257-5896
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DRIVE, SUITE 204, KNOXVILLE, TN 37934
(865) 675-2080
(877) 896-7807
Mailing address
10810 PARKSIDE DRIVE, SUITE 204, KNOXVILLE, TN 37934
(865) 675-2080
(877) 896-7807
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41864
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41864
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346376613
NPI NUMBER MARK H COOPER MD
TN
05
—
1523647
—
TN
Enumeration date
01/29/2010
Last updated
09/16/2015
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