Individual
ALLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BLOWERS BLVD, MILLIGAN, TN 37682
(423) 461-8700
Mailing address
1 BLOWERS BLVD, JOHNSON CITY, TN 37682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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