Cooper, Michael Townsend

Cooper, Michael Townsend is an individual health care provider with primary practice located at 3208 Shrine Rd , Brunswick GA 31520-4325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cooper, Michael Townsend can be contacted via phone (912) 265-2036.

Contact Information

Primary practice address
3208 Shrine Rd Brunswick GA 31520-4325
Phone: (912) 265-2036
Fax: (912) 265-6779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 054478 Georgia

Profile Details

NPI number 1225079452
LBN Legal business name Cooper, Michael Townsend
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1225079452 NPPES
Georgia MEDICAID 181268695A

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