Organization
GEORGE L COOPER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE L COOPER M.D. (OWNER)
(910) 323-2002
Entity
Organization
Contact information
Practice address
2139 VALLEYGATE DR STE 101A, FAYETTEVILLE, NC 28304-3666
(910) 323-2002
(910) 323-3477
Mailing address
2139 VALLEYGATE DR STE 101A, FAYETTEVILLE, NC 28304-3666
(910) 323-2002
(910) 323-3477
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
1226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093AG
—
NC
05
—
891083N
—
NC
Enumeration date
12/03/2007
Last updated
07/21/2008
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