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Individual

JESSICA LYN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1941
Mailing address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1941

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89506
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2017
Last updated
08/15/2025
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