Individual
KATHLEEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3288 ABERRONE PL, BUFORD, GA 30519-7980
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R105522
MD
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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