Individual
DYLAN M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
1120 15TH STREET BI W2144, AUGUSTA, GA 30912
(706) 721-0180
(706) 446-0077
Mailing address
1120 15TH STREET BI W2144, AUGUSTA, GA 30912
(706) 721-0180
(706) 446-0077
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
37723
SC
207L00000X
Anesthesiology Physician
Primary
16459
GA
Other
Enumeration date
08/17/2018
Last updated
06/25/2024
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