Individual
BONNIE GRULLON-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR. BOX 88, GRADY HOSPITAL, ATLANTA, GA 30303
(404) 616-0879
Mailing address
906 TORREY PINES COURT, MCDONOUGH, GA 30253
(478) 320-2379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN193456
GA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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