Individual
MRS. MIRANDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1113 OGLETHORPE, HINESVILLE, GA 31313
(912) 876-5085
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 876-5085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN162862
GA
Other
Enumeration date
08/03/2016
Last updated
07/22/2024
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