DR. Randy Wilson Cooper, M.D.

NPI #1083612352 in Augusta, Georgia

Provider Information

NPI Number: 1083612352
Entity Type: Individual
Name: DR. Randy Wilson Cooper, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jul 12, 2005
Last Updated: Mar 23, 2022

Practice Location

Address: 818 SAINT SEBASTIAN WAY STE 104
City: Augusta
State: Georgia
ZIP Code: 30901-2652
Phone: (706) 434-0130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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