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Vidette V Cooper, MD

Internal Medicine in Dunn, NC. Individual provider (NPI-1).

NPI number1568420107
StatusActive
Last updated in NPPESMar 11, 2014

Details

NPI
1568420107
Entity type
Individual (NPI-1)
Name
Vidette V Cooper
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2006
Last updated
Mar 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine22230SCYes

Practice location

803 Tilghman Dr
Suite 100
Dunn, NC 28334-5509

Phone 910-892-1091 · Fax 910-892-1097

Mailing address

803 Tilghman Dr
Suite 100
Dunn, NC 28334-5509

Phone 910-892-1091 · Fax 910-892-1097

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