Dr. Tana Kathryn Cooper
Family Doctor Neuromusculoskeletal Medicine (NMM)
3680 Sangani Blvd Ste H2
Diberville
, Mississippi 39540-8709
Dr. Tana Kathryn Cooper
Family Doctor Neuromusculoskeletal Medicine (NMM)
3680 Sangani Blvd Ste H2
Diberville
, Mississippi 39540-8709
(601) 936-1395
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Tana Kathryn Cooper
- Po Box 321359
- Flowood, MS
- Zip : 39232-1359
- Phone : (601) 936-1395
Second Address
- Dr. Tana Kathryn Cooper
- 3680 Sangani Blvd Ste H2
- Diberville, MS
- Zip : 39540-8709
- Fax : (228) 354-9301
- Phone : (228) 354-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20540 | MS |
| Y | 207Q00000X | Family Doctor | 20540 | MS |
National Provider Identifier
| NPI | 1174730519 |
|---|---|
| Provider Name | Dr. Tana Kathryn Cooper |
| First Address | Flowood, MS 39232-1359 |
| Second Address | Diberville, MS 39540-8709 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.