Individual
MOLLY VAN WERT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 N CENTRAL AVE, ADAIRSVILLE, GA 30103-2467
(470) 601-5750
(770) 877-3655
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN238758
GA
Other
Enumeration date
10/30/2020
Last updated
12/07/2022
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