Organization
CARL J COOPER MD PC
Active
Other names
COOPER MEDICAL GROUP ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
CARL JEROME COOPER MD (PHYSICIAN/OWNER)
(912) 691-0603
Entity
Organization
Contact information
Practice address
823 E 66TH ST, SAVANNAH, GA 31405-4507
(912) 691-0603
(912) 354-8484
Mailing address
PO BOX 22183, SAVANNAH, GA 31403-2183
(912) 691-0603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00680314E
—
GA
Enumeration date
06/24/2006
Last updated
06/17/2008
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