Individual
BIANCA N COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(229) 269-0077
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN240917
GA
Other
Enumeration date
06/17/2021
Last updated
11/29/2025
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