Individual
ROBERT CHARLTON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-1617
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-1617
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
OT004016
GA
Other
Enumeration date
11/13/2007
Last updated
09/30/2024
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