Individual
ASHLE NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
937 15TH ST, AUGUSTA, GA 30912-0008
(706) 399-6044
(706) 721-3495
Mailing address
144 OAKLAND DR, NORTH AUGUSTA, SC 29860-8654
(803) 279-8935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
441
SC
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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