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Individual

KATIE LYNN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
Mailing address
141 HARPER RD, BREMEN, GA 30110-3341

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN302846
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-NP302846
GA

Other

Enumeration date
11/08/2023
Last updated
01/12/2026
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