Organization
CENTRAL GA CENTER FOR DIGESTIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA G COOPER MD (PRESIDENT)
(478) 474-4199
Entity
Organization
Contact information
Practice address
6501 PEAKE RD, BLDG 900, MACON, GA 31210-8042
(478) 474-4199
(478) 471-1221
Mailing address
6501 PEAKE RD, BLDG 900, MACON, GA 31210-8042
(478) 474-4199
(478) 471-1221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
038543
GA
Other
Enumeration date
03/23/2007
Last updated
12/11/2007
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