Individual
MS. KEDEEMYA S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
255 FULLER ST, CAMILLA, GA 31730-2212
(229) 221-9850
Mailing address
2380 MEADOWLARK COMMONS CT APT 203, ALBANY, GA 31707-5872
(229) 221-9850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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