Organization
CURTIS V. COOPER PRIMARY HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLENE JOINER DANIELS (CHIEF ADMINISTRAIVE OFFICER)
(912) 527-1088
Entity
Organization
Contact information
Practice address
2 ROBERTS ST, SAVANNAH, GA 31408-3524
(912) 527-1000
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHRE005935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000326466A
—
GA
Enumeration date
05/08/2007
Last updated
01/27/2020
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