Organization
FULTONCOUNTYGOVERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET COOPER RN (DIRECTOR OF NURSING)
(404) 906-2094
Entity
Organization
Contact information
Practice address
186 SUNSET AVE, ATLANTA, GA 30314
(404) 612-9343
Mailing address
186 SUNSET AVE NW, ATLANTA, GA 30314-4059
(404) 612-9343
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RN078743
GA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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