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NPI Code Detail

MEDICARE: GEORGE J COOPER JR. MD

MEDICARE: GEORGE J COOPER JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician26442TN

General Provider Information

NPI Number : 1144290529
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE J COOPER JR. MD
Provider Business Mailing Address
First Line : PO BOX 966
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-0966
Country : US
Telephone Number : 833-835-8777
Fax Number : 407-324-4727
Provider Business Practice Location Address
First Line : 4321 CAROTHERS PKWY
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 615-435-5435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 10/23/2023

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