Cooper, John Thomas
Cooper, John Thomas is an sole proprietor health care provider with primary practice located at 3188 Atlanta Rd Se , Smyrna GA 30080-8256. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cooper, John Thomas can be contacted via phone (770) 435-7770.Contact Information
Primary practice address
3188 Atlanta Rd Se
Smyrna GA 30080-8256
Phone: (770) 435-7770
Fax: (770) 435-9440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY001460 | Georgia |
Profile Details
| NPI number | 1972834612 |
|---|---|
| LBN Legal business name | Cooper, John Thomas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2010 |
| Last updated | Jan 20th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972834612 | NPPES |
| Georgia | MEDICAID | 00441548D |
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