Individual
PHILIP ANDREW COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(229) 433-1000
Mailing address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(229) 433-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN224017
GA
Other
Enumeration date
10/02/2018
Last updated
12/21/2018
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