Individual
COREY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 MARTIN LUTHER KING JR DR SE UNIT 1012, ATLANTA, GA 30312-2525
(833) 878-3567
Mailing address
290 MARTIN LUTHER KING JR DR SE UNIT 1012, ATLANTA, GA 30312-2525
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
AL
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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