Individual
SUZANE CLAGGETT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604 STONE AVE, TALLADEGA, AL 35160-2217
(256) 761-4047
(256) 761-4203
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11308
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11308
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079557
—
AL
01
—
510-79557
BC BS OF AL
AL
Enumeration date
04/14/2006
Last updated
06/20/2017
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