Healthcare Provider Details

I. General information

NPI: 1730878166
Provider Name (Legal Business Name): SCOTT FRANCIS COOPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WESTVIEW DRIVE
ATLANTA GA
30310
US

IV. Provider business mailing address

250 10TH ST NE APT 1402
ATLANTA GA
30309-3713
US

V. Phone/Fax

Practice location:
  • Phone: 404-756-1383
  • Fax:
Mailing address:
  • Phone: 302-943-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number112864
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: