Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LEE COOPER, MD
ActiveSpecialist · TUCKER, GA
Registration Details
- NPI Number
- 1710080627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.650494606905 yrs)
- Last Updated
- Jul 17, 2015
- License
-
011850 (GA)
Practice Information
- Address
-
1462 MONTREAL RDSUITE 411TUCKER, GA, 300846929Browse GA providers · Browse ZIP 30084
- Phone
- 4042968000
- Fax
- 7704936842
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RALPH ROBERT BETON | MD | 1932100609 |
| DAMIEN ANTOINE DOUTE | MD | 1033106158 |
| ALVARO J LOPEZ | M.D. | 1861440216 |
| DR. JAMES ENOCH DOPSON | M.D. | 1285732495 |
| HANIF BOGHANI | MD | 1619026150 |
| MR. GRANT ALLEN PEACOCK III | PT | 1942411699 |
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.