Individual
COLTON DAVID COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 460-9433
Mailing address
172 HIGHLAND TER, RINGGOLD, GA 30736-6513
(423) 509-9335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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