Individual
CARLI J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
444 CLINCHFIELD ST STE 2800, KINGSPORT, TN 37660-3858
(423) 230-2801
(423) 239-7750
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 230-2801
(423) 239-7750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO3035
TN
207Q00000X
Family Medicine Physician
LL1700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6071441
BCBS
TN
Enumeration date
02/26/2013
Last updated
02/13/2025
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