MEDICARE: JAMES MICHAEL COOPER 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	3793	TN

General Provider Information

NPI Number	:	1457127102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL COOPER DC

Provider Business Mailing Address
First Line	:	3918 CEDAR GLADES DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-2996
Country	:	US
Telephone Number	:	615-907-7490
Fax Number	:	615-907-7489

Provider Business Practice Location Address
First Line	:	3918 CEDAR GLADES DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-2996
Country	:	US
Telephone Number	:	615-907-7490
Fax Number	:	615-907-7489

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

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	12/04/2023

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Directions to “ JAMES MICHAEL COOPER DC” Practice Location

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