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Individual

JOHNIE JOSEPH COOPER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 E MAXWELL ST STE 140, LEXINGTON, KY 40508-2678
(859) 323-0005
Mailing address
2750 HOSPITAL DR, NORTHPORT, AL 35476-3360

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54439
KY
207V00000X
Obstetrics & Gynecology Physician
R2724
KY
207V00000X
Obstetrics & Gynecology Physician
TP097
KY

Other

Enumeration date
06/20/2011
Last updated
04/30/2021
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