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Contact Information

SHANNON S COOPER, MD
1309 W MAIN ST
WALNUT RIDGE, AR72476-1430
 Phone: 870-886-3211
 Fax: 870-886-3616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHANNON S COOPER · (Female)

NPI Number 1013141621
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2009
Last updated 12/27/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E8066
  • AR Medicaid 296613
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER HEBER SPINGS - (Critical Access)
    1800 BYPASS ROAD
    HEBER SPRINGS, AR 72543
  • CONWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2302 COLLEGE AVENUE
    CONWAY, AR 72034
  • OZARK HEALTH - (Critical Access)
    2500 HIGHWAY 65 SOUTH
    CLINTON, AR 72031
  • WHITE COUNTY MEDICAL CENTER - (Acute Care)
    3214 EAST RACE AVENUE
    SEARCY, AR 72143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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