MEDICARE: DR. ANNISTON COOPER POPE DC

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
1	111N00000X	Chiropractor	1433	MS

General Provider Information

NPI Number	:	1750240131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNISTON COOPER POPE DC

Provider Business Mailing Address
First Line	:	2220 OLD HIGHWAY 45 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-2709
Country	:	US
Telephone Number	:	601-938-6325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 OLD HIGHWAY 45 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-2709
Country	:	US
Telephone Number	:	601-938-2667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	03/23/2026

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Directions to “ DR. ANNISTON COOPER POPE DC” Practice Location

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