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1083612352
RANDY WILSON COOPER
AUGUSTA, GA
NPI
1083612352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 022737)
Enumeration Date
2005-07-12
Last Update Date
2022-03-23
Business Address
Dr. RANDY WILSON COOPER M.D.
818 SAINT SEBASTIAN WAY STE 104
AUGUSTA, GA 30901-2652
Phone number: 706-434-0130
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Mailing Address
Dr. RANDY WILSON COOPER M.D.
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-854-6008
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