Individual
DR. JOHN CHRISTIAN COPPINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 S CONCORD ST STE 102, KNOXVILLE, TN 37919-3339
(856) 440-8759
Mailing address
601 S CONCORD ST STE 102, KNOXVILLE, TN 37919-3339
(865) 440-8759
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02003944A
IN
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34005898
OH
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
4078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343910
—
IN
01
—
P01678697
RR PTAN
IN
Enumeration date
07/26/2011
Last updated
12/08/2021
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