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Individual

FORD H COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1265 HIGHWAY 54 W, SUITE 308, FAYETTEVILLE, GA 30214-4548
(770) 460-1900
(770) 719-1214
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010374
GA

Other

Enumeration date
07/12/2011
Last updated
06/03/2014
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