Vidette V Cooper in Dunn - Internal Medicine

Vidette V Cooper - NPI 1568420107

Vidette V Cooper is a Internal Medicine in Dunn, North Carolina. Vidette V Cooper practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vidette V Cooper is 1568420107. The last update date is 2014-03-11.

Vidette V Cooper's current location address is 803 Tilghman Dr, Dunn, North Carolina. You can contact this provider via phone number 9108921091 and fax number 9108921097. The mailing address for Vidette V Cooper is 803 Tilghman Dr, Dunn, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Vidette V Cooper
Address 803 Tilghman Dr, Dunn, North Carolina
Phone Number 9108921091
Fax Number 9108921097
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1568420107
Provider Enumeration Date 2006-05-03
Last Updated Date 2014-03-11

Provider Mailing Address Detail

Address 803 Tilghman Dr
City Dunn
State North Carolina (NC)
Post Code 283345509
Phone Number 9108921091
Fax Number 9108921097

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 22230
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5909335 NC --
GP4840 SC MEDICAID GROUP
T64356 SC --
764356 SC --
GP4306 SC MEDICAID GROUP
GP1883 SC MEDICAID GROUP

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FAQs about Vidette V Cooper

What is the unique provider identifier assigned to Vidette V Cooper?

The Vidette V Cooper has been issued the NPI (National Provider Identifier) 1568420107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Vidette V Cooper's facilities are situated?

The facilities of Vidette V Cooper are physically located at the following address: 803 Tilghman Dr, Dunn, NC, 283345509.

What is Vidette V Cooper's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vidette V Cooper's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Vidette V Cooper receive the assignment of its 1568420107 from the Centers for Medicare & Medicaid Services?

The Vidette V Cooper was issued its 1568420107 by the Centers for Medicare & Medicaid Services on 2006-05-03.

When was the Vidette V Cooper's information last updated?

The Vidette V Cooper's information was last updated on 2014-03-11.

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