Individual
MR. MICHAEL R COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 430, MARIETTA, GA 30068-4424
(770) 321-1001
(770) 321-8290
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9624
GA
363A00000X
Physician Assistant
PA9109654
FL
Other
Enumeration date
07/19/2016
Last updated
03/17/2020
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