Individual
MICHAEL TOWNSEND COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3208 SHRINE RD, BRUNSWICK, GA 31520-4325
(912) 265-2036
(912) 265-6779
Mailing address
3208 SHRINE RD, BRUNSWICK, GA 31520-4325
(912) 265-2036
(912) 265-6779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181268695A
—
GA
Enumeration date
06/09/2006
Last updated
07/08/2007
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