ROBERT CHARLTON COOPER

FORT MOORE, GA
NPI1285814830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: GA  OT004016)
Enumeration Date2007-11-13
Last Update Date2024-09-30
Business Address
ROBERT CHARLTON COOPER OTR/L
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1617
Mailing Address
ROBERT CHARLTON COOPER OTR/L
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-1617