Individual
JOSHUA BENJAMIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 PINE ST, SUITE 290, MACON, GA 31201-2173
(478) 743-1458
(478) 755-1332
Mailing address
770 PINE ST, SUITE 290, MACON, GA 31201-2173
(478) 743-1458
(478) 755-1332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
077601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131722
—
AL
05
—
131724
—
AL
05
—
131725
—
AL
Enumeration date
05/11/2010
Last updated
05/09/2017
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