Organization
FAMILY MEDICINE FOR YOUR FAMILY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C COOPER M.D. (OWNER)
(256) 259-4100
Entity
Organization
Contact information
Practice address
505 BURLINGTON ST, SCOTTSBORO, AL 35768-4216
(256) 259-4100
(256) 259-4104
Mailing address
505 BURLINGTON ST, SCOTTSBORO, AL 35768-4216
(256) 259-4100
(256) 259-4104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22070
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529925920
—
AL
Enumeration date
02/16/2007
Last updated
07/30/2020
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