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Individual

DR. AMY DOWNS COOGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
400 S SECOND ST, BOONEVILLE, MS 38829
(662) 728-1999
(662) 728-2056
Mailing address
2376 SOMERSET VALLEY DR, ANTIOCH, TN 37013-4488
(662) 416-0464
(662) 728-2056

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3641-12
MS

Other

Enumeration date
07/24/2013
Last updated
08/28/2018
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