Individual
DR. CHARLES CLAYTON COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1635 FRIAR TUCK RD NE, ATLANTA, GA 30309-2611
(770) 605-2077
(404) 303-8867
Mailing address
1635 FRIAR TUCK RD NE, ATLANTA, GA 30309-2611
(770) 605-2077
(404) 303-8867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010442
GA
Other
Enumeration date
07/31/2006
Last updated
10/28/2014
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