Individual
CARTER WELCH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1150 HAMMOND DR STE 400, ATLANTA, GA 30328-8617
(404) 256-2633
(404) 255-6532
Mailing address
1150 HAMMOND DR STE 400, ATLANTA, GA 30328-8617
(404) 256-2633
(404) 255-6532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101457295B
—
GA
Enumeration date
09/21/2006
Last updated
09/17/2021
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