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Organization
COOPER MEDICAL LLC
Active
Organization
COOPER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COOPER (OWNER)
(706) 266-4086
Entity
Organization
Contact information
Practice address
223 MAGNOLIA CT, SUMMERVILLE, GA 30747-6055
(706) 266-4086
(800) 258-6025
Mailing address
223 MAGNOLIA CT, SUMMERVILLE, GA 30747-6055
(706) 266-4086
(800) 258-6025
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
20216146522
GA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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