Individual
MS. MELANIE L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
578 S ENOTA DR NE STE C, GAINESVILLE, GA 30501-8947
(470) 290-8474
Mailing address
578 S ENOTA DR NE STE C, GAINESVILLE, GA 30501-8947
(470) 290-8474
(770) 593-9447
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
045753
GA
207Q00000X
Family Medicine Physician
Primary
045753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800588K
—
GA
Enumeration date
05/23/2006
Last updated
07/31/2019
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