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NPI Code Detail

MEDICARE: MR. DARIN J. COOPER P.A.

MEDICARE: MR. DARIN J. COOPER P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5504GA

General Provider Information

NPI Number : 1871730838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARIN J. COOPER P.A.
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1315 JESSE JEWELL PKWY NE STE 300
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3875
Country : US
Telephone Number : 770-848-7246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 02/17/2022

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