Individual
KEEVIS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3740 CASCADE RD SW, ATLANTA, GA 30331-2108
(404) 472-1949
Mailing address
3740 CASCADE RD SW, ATLANTA, GA 30331-2108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027957
GA
Other
Enumeration date
06/16/2016
Last updated
12/19/2022
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