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
Phone: (470) 290-8474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669427316 | NPPES |
| Georgia | MEDICAID | 000800588K |
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