Individual
AMANDA JULIA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 SIMPSON HIGHWAY 49, MAGEE, MS 39111
(601) 439-0635
Mailing address
360 SIMPSON HIGHWAY 149, MAGEE, MS 39111-3841
(601) 439-0635
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
26877
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
07/27/2021
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