| Doctor Name: | ADAM C. COOPER |
| NPI Number: | 1063556389 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN, RNC |
| License Number: | 111375 |
| Business Practice Address: | 133 W 2nd Ave Oneida, TN - 378412023 |
| Business Phone Number: | 4235697979 |
| Business Fax Number: | 4235692901 |
| Mailing Address: | Po Box 5454, ONEIDA |
| State: | TN |
| Postal Code: | 378415441 |
| Phone Number: | 4235693383 |
| Fax Number: | 4235692901 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 111375 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |