Organization
COOPER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DWAIN COOPER M.D. (OWNER)
(678) 473-4738
Entity
Organization
Contact information
Practice address
3645 HOWELL FERRY RD, SUITE A, DULUTH, GA 30096-3179
(678) 473-4738
(678) 473-4739
Mailing address
3645 HOWELL FERRY RD, SUITE A, DULUTH, GA 30096-3179
(678) 473-4738
(678) 473-4739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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