Individual
JORDAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 CLEVELAND HWY, DALTON, GA 30721-8160
(706) 270-5000
Mailing address
1401 APPLEWOOD DR, SUITE 1, DALTON, GA 30720-2699
(706) 270-5033
(706) 370-7749
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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