Individual
CARMEN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
933 N HAIRSTON RD STE 4, STONE MOUNTAIN, GA 30083-2850
(404) 500-0087
Mailing address
933 N HAIRSTON RD STE 4, STONE MOUNTAIN, GA 30083-2850
(404) 500-0087
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
S5J3S5Q8
GA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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