Individual
JASON ALEXANDER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 PINEVILLE BLVD STE 101, CLAYTON, NC 27527-9355
(984) 215-5040
(984) 215-5045
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-01801
NC
Other
Enumeration date
03/25/2020
Last updated
11/14/2023
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