Individual
GERALDINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 BROOKSIDE AVE UNIT 313, ATHENS, GA 30606-2690
(770) 597-9815
Mailing address
301 BROOKSIDE AVE UNIT 313, ATHENS, GA 30606-2690
(770) 597-9815
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
174200000X
Meals Provider
—
GA
177F00000X
Lodging Provider
—
GA
253Z00000X
In Home Supportive Care Agency
—
GA
332U00000X
Home Delivered Meals
—
GA
335G00000X
Medical Foods Supplier
—
GA
342000000X
Transportation Network Company
—
GA
343800000X
Secured Medical Transport (VAN)
—
GA
343900000X
Non-emergency Medical Transport (VAN)
—
GA
347C00000X
Private Vehicle
—
GA
385H00000X
Respite Care
—
GA
Other
Enumeration date
11/15/2025
Last updated
11/15/2025
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