Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY LANE COOPER, PA/C
ActiveMRS. MARY LANE COOPER, PA/C is a Medical Physician Assistant healthcare provider located in CLAXTON, Georgia. NPI 1508116765 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CLAXTON, GA
Registration Details
- NPI Number
- 1508116765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2012 (13.878366462481 yrs)
- Last Updated
- Sep 14, 2012
- License
-
1586 (GA)
Practice Information
- Address
-
3609 BILL HODGES RDCLAXTON, GA, 304176235Browse GA providers · Browse ZIP 30417
- Phone
- 9127394807
- Fax
- 9127392939
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CLAXTON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA ROBERT PACUT | PA | 1023049681 |
| HEATHER LEWIS | PA-C | 1235574906 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.