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NPI Code Detail

MEDICARE: SUZANE CLAGGETT COOPER MD

MEDICARE:   SUZANE CLAGGETT COOPER  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
1207L00000XAnesthesiology Physician11308AL
2207LP2900XPain Medicine (Anesthesiology) Physician11308AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2510-79557OTHERALBC BS OF AL

General Provider Information

NPI Number : 1952365132
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANE CLAGGETT COOPER MD
Provider Business Mailing Address
First Line : 2151 OLD ROCKY RIDGE RD
Second Line : SUITE 106
City : BIRMINGHAM
State : AL
Zip : 35216-7235
Country : US
Telephone Number : 205-989-1080
Fax Number : 205-989-1087
Provider Business Practice Location Address
First Line : 604 STONE AVE
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-2217
Country : US
Telephone Number : 256-761-4047
Fax Number : 256-761-4203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 06/20/2017

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Directions to “ SUZANE CLAGGETT COOPER MD” Practice Location

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