| Cooper Medical Group Associates | |
|
823 E 66th St Savannah GA 31405-4507 | |
| (912) 691-0603 | |
| (912) 354-8484 |
| Full Name | Cooper Medical Group Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 823 E 66th St, Savannah, Georgia |
| Authorized Official Name and Position | Carl Jerome Cooper (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9126910603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Medical Group Associates Po Box 22183 Savannah GA 31403-2183 Ph: (912) 691-0603 | Cooper Medical Group Associates 823 E 66th St Savannah GA 31405-4507 Ph: (912) 691-0603 |
| NPI Number | 1437185170 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437185170 | NPI | - | NPPES |
| 00680314E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40352 (Georgia) | Primary |
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