Individual
CHARLOTTE ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
175 SPALDING CREEK CT, ATLANTA, GA 30350-1142
(770) 789-3696
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN254690
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN254690
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
09/28/2021
Last updated
09/27/2023
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