Individual
DR. EARL R. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
330 RIVER ROAD 371 RAMSEY CENTER 371 RAMSEY CENTER, ATHENS, GA 30602-0001
(706) 542-6463
Mailing address
330 RIVER ROAD 371 RAMSEY CENTER 371 RAMSEY CENTER, ATHENS, GA 30602-0001
(706) 542-6463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
80
GA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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