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Individual

WILLIAM CHASE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 283-1305
Mailing address
1420 18TH ST S APT I, BIRMINGHAM, AL 35205-6221
(205) 283-1305

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1-173675
AL

Other

Enumeration date
04/24/2020
Last updated
04/24/2020
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