Individual
KRISTA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
(770) 748-5022
Mailing address
740 FLETCHER ST, CEDARTOWN, GA 30125-3249
(770) 748-1500
(770) 748-5022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN076152
GA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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