Individual
AMY A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 226-7544
(229) 226-0314
Mailing address
PO BOX 2258, THOMASVILLE, GA 31799-2258
(229) 226-7544
(229) 226-0314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
047071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788169B
—
GA
05
—
000788169C
—
GA
Enumeration date
03/01/2006
Last updated
07/09/2007
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