Individual
DOUGLAS JUSTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
121 PARK PLACE CT, LEXINGTON, SC 29072-6690
(803) 356-4712
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
—
213ES0131X
Foot Surgery Podiatrist
Primary
741
MN
Other
Enumeration date
05/17/2019
Last updated
01/17/2024
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