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Individual

AMY E COOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2001 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4572
(706) 571-9699
(706) 571-9565
Mailing address
2001 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4572
(706) 571-9699
(706) 571-9565

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101243753
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116017660
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649492844
VA
Enumeration date
05/03/2007
Last updated
09/22/2010
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