Healthcare Provider Details

I. General information

NPI: 1710800214
Provider Name (Legal Business Name): ERIN RAGAN COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1815
US

IV. Provider business mailing address

3047 SANDERS RD
EDISON GA
39846-7845
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-5428
  • Fax:
Mailing address:
  • Phone: 229-308-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN303694
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: