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Individual

EVERETT MICHAEL COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-8520
Mailing address
1353 WATERSTON DR, EVANS, GA 30809-5038
(706) 836-1330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01093752A
IN

Other

Enumeration date
03/24/2021
Last updated
10/22/2024
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