DOUGLAS JUSTIN COOPER

LEXINGTON, SC
NPI1851957609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0131X 
(Licence: MN  741)
Additional Taxonomies211D00000X Assistant, Podiatric
Enumeration Date2019-05-17
Last Update Date2024-01-17
Business Address
DOUGLAS JUSTIN COOPER DPM
121 PARK PLACE CT
LEXINGTON, SC 29072-6690
Phone number: 803-356-4712
Mailing Address
DOUGLAS JUSTIN COOPER DPM
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2000
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