Individual
MR. BAILEY MICHAEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4286 WINDY GAP CT NW, KENNESAW, GA 30144-5121
(404) 433-4435
Mailing address
4286 WINDY GAP CT NW, KENNESAW, GA 30144-5121
(404) 433-4435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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