Organization
COOPER MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERAN A COOPER M.D. (PRESIDENT)
(678) 499-8633
Entity
Organization
Contact information
Practice address
448 RALPH DAVID ABERNATHY BLVD SW, #2, ATLANTA, GA 30312-2404
(678) 499-8633
(404) 522-0703
Mailing address
448 RALPH DAVID ABERNATHY BLVD SW, #2, ATLANTA, GA 30312-2404
(678) 499-8633
(404) 522-0703
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000560436G
—
GA
Enumeration date
07/10/2006
Last updated
03/09/2009
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