Cooper, Melissa Shunta
Cooper, Melissa Shunta is an individual health care provider with primary practice located at 4600 Farmington Rd , Watkinsville GA 30677-4374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as her primary health care specialty. Cooper, Melissa Shunta can be contacted via phone (706) 340-9566.Contact Information
Primary practice address
4600 Farmington Rd
Watkinsville GA 30677-4374
Phone: (706) 340-9566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 20268794737 | Georgia |
Profile Details
| NPI number | 1669134300 |
|---|---|
| LBN Legal business name | Cooper, Melissa Shunta |
| Credentials | Certified Medical Assistant (CMA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2021 |
| Last updated | Oct 11th, 2021 - about 4 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 | 1669134300 | NPPES |
| Georgia | Other | 87-1622293 | ELITE MOBILE PHLEBOTOMIST OF GA. LLC |
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