Provider Demographics
NPI:1740523034
Name:COOPER, ELIZABETH CHERIE (DVM)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CHERIE
Last Name:COOPER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-4103
Mailing Address - Country:US
Mailing Address - Phone:865-688-0776
Mailing Address - Fax:865-688-9896
Practice Address - Street 1:5630 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-4103
Practice Address - Country:US
Practice Address - Phone:865-688-0776
Practice Address - Fax:865-688-9896
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDV0000003765174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian