Larry Cooper MD

NPI 1023078086 - Family Medicine - 207Q00000X

NPI Details
NPI 1023078086
Gender Male
Enumeration Date 03/24/2006
Last Updated 10/02/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1401 RIVER RD
GREENWOOD MS, 38930-4030, US
Phone (662) 459-1440
Fax (601) 981-7792
Business Location
PO BOX 284
CANTON MS, 39046-0284, US
Phone (601) 201-6210
Fax (601) 981-7792
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 12496
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According to our database, Dr. Larry Cooper MD NPI is 1023078086, taxonomy code is 207Q00000X and license number is 12496, license state is located at Mississippi. Larry Cooper MD physically located at 1401 River Rd, Greenwood MS, 38930-4030. NPI Number Larry Cooper MD has the Individual type.

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1023078086 NPI number is provided on an as is basis without warranty of any kind. 1023078086 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Cooper MD are for informational purposes only.