Individual
DR. JOHN TAYLOR COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
212 S MAIN ST, ATMORE, AL 36502-2448
(251) 368-8558
Mailing address
22 ELIZABETH PL, MOBILE, AL 36606-1918
(251) 391-0375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1269
GA
152W00000X
Optometrist
702
MS
152W00000X
Optometrist
Primary
AL S-651-TA-315
AL
152W00000X
Optometrist
OPC 2443
FL
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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