Individual
DR. JERRY LEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1462 MONTREAL RD, SUITE 411, TUCKER, GA 30084-6929
(404) 296-8000
(770) 493-6842
Mailing address
1462 MONTREAL RD, SUITE 411, TUCKER, GA 30084-6929
(404) 296-8000
(770) 493-6842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011850
GA
Other
Enumeration date
09/06/2006
Last updated
07/17/2015
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