Cooper, Melanie L

Cooper, Melanie L is an sole proprietor health care provider with primary practice located at 578 S Enota Dr Ne Ste C , Gainesville GA 30501-8947. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cooper, Melanie L can be contacted via phone (470) 290-8474.

Contact Information

Primary practice address
578 S Enota Dr Ne Ste C Gainesville GA 30501-8947
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 045753 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 045753 Georgia

Profile Details

NPI number 1669427316
LBN Legal business name Cooper, Melanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jul 31st, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669427316 NPPES
Georgia MEDICAID 000800588K

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