Randy Wilson Cooper M.D.

NPI 1083612352 - Surgery - 208600000X

NPI Details
NPI 1083612352
Gender Male
Enumeration Date 07/12/2005
Last Updated 08/16/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
818 SAINT SEBASTIAN WAY
SUITE 408
AUGUSTA GA, 30901-2651, US
Phone (706) 722-2334
Fax (706) 724-7032
Business Location
818 SAINT SEBASTIAN WAY
SUITE 408
AUGUSTA GA, 30901-2651, US
Phone (706) 722-2334
Fax (706) 724-7032
Toxanomy
Taxonomy Code 208600000X
License State Georgia
License Number 022737
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According to our database, Dr. Randy Wilson Cooper M.D. NPI is 1083612352, taxonomy code is 208600000X and license number is 022737, license state is located at Georgia. Randy Wilson Cooper M.D. physically located at 818 Saint Sebastian Way, Augusta GA, 30901-2651. NPI Number Randy Wilson Cooper M.D. has the Individual type.

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1083612352 NPI number is provided on an as is basis without warranty of any kind. 1083612352 is maintained by the National Plan & Provider Enumeration System. The contents of Randy Wilson Cooper M.D. are for informational purposes only.