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Individual

MR. TERRILL ANTHONY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
335 MARGIE DR STE F, WARNER ROBINS, GA 31088-8908
(478) 227-4051
Mailing address
335 MARGIE DR STE F, WARNER ROBINS, GA 31088-8908
(478) 227-4051

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN202887
GA
363LF0000X
Family Nurse Practitioner
RN202887
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN202887
GA

Other

Enumeration date
05/17/2016
Last updated
09/10/2024
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