Individual
MR. TERRELL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
3200 DOWNWOOD CIR NW STE 400, ATLANTA, GA 30327-1624
(404) 352-2005
(404) 352-2008
Mailing address
1870D INDEPENDENCE SQ STE D, ATLANTA, GA 30338-5150
(770) 396-6190
(770) 396-5541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R088127
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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