Organization
KATHARINE R. COOPER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE R COOPER M.D. (PRESIDENT)
(256) 234-2464
Entity
Organization
Contact information
Practice address
3368 HIGHWAY 280, SUITE 205, ALEXANDER CITY, AL 35010-3393
(256) 234-2464
(256) 234-2440
Mailing address
3368 HIGHWAY 280, SUITE 205, ALEXANDER CITY, AL 35010-3393
(256) 234-2464
(256) 234-2440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18123
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937370
—
AL
01
—
160051058
MEDICARE RAILROAD ID #
AL
01
—
98417
ALABAMA BCBS ID #
AL
Enumeration date
11/04/2005
Last updated
11/10/2008
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