MARY ALICE COOPER

ATLANTA, GA
NPI1104939685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  001773)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- MARY ALICE COOPER PA
1525 CLIFTON RD NE SUITE 207
ATLANTA, GA 30322-4200
Phone number: 404-778-4451
Mailing Address
-- MARY ALICE COOPER PA
379 MILLEDGE AVE SE
ATLANTA, GA 30312-3238
Phone number: 404-577-7084