Individual
GABRIELLE MICHELE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2366 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4030
(706) 452-5830
Mailing address
4218 GREEN SHANTY RD, OOLTEWAH, TN 37363-9024
(423) 322-5928
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
GAA-NP000795
GA
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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