Casey Cooper

NPI #1114628971 in Rossville, Georgia

Provider Information

NPI Number: 1114628971
Entity Type: Individual
Name: Casey Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Mar 16, 2023
Last Updated: Mar 16, 2023

Practice Location

Address: 1250 WILSON RD
City: Rossville
State: Georgia
ZIP Code: 30741-3742
Phone: (423) 637-3506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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