Individual
SCOTT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
266 ORVIN LANCE DR STE 5, BLUE RIDGE, GA 30513-8054
(706) 450-6602
(706) 450-6603
Mailing address
266 ORVIN LANCE DR STE 5, BLUE RIDGE, GA 30513-8054
(706) 450-6602
(706) 450-6603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13887
GA
363A00000X
Physician Assistant
Primary
139964
AK
Other
Enumeration date
09/01/2017
Last updated
06/10/2026
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