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DR. MARTHA LOUISE COOPER M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1538376942

Individual Registrant:
DR. MARTHA LOUISE COOPER M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
807 S ISABELLA ST  SYLVESTER, GA 31791-7554 US
Tel: 229-776-9143  Fax: --

Contact information for business:
807 S ISABELLA ST  SYLVESTER, GA 31791-7554 US
Tel: 229-776-9143  Fax: --

Registration Information:
NPI: 1538376942
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GABC4653247

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREP00242174GA01
000689279EGA05
BCBS OF GEORGIA52623456004GA01




HEALTH CARE JOBS GA - Page 1



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