Individual
DR. CHARLES R COOLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 TRANSIT AVE, SUITE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Mailing address
720 TRANSIT AVE, SUITE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00512036C
—
GA
Enumeration date
05/09/2006
Last updated
07/08/2007
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