ROBERT CHARLTON COOPER

FORT BENNING, GA
NPI1285814830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: GA  OT004016)
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
-- ROBERT CHARLTON COOPER OTR/L
7950 MARTIN LOOP BLDG 9200
FORT BENNING, GA 31905-5647
Phone number: 706-544-1442
Mailing Address
-- ROBERT CHARLTON COOPER OTR/L
10420 WHITESVILLE RD
FORTSON, GA 31808-2621
Phone number: 706-323-2641
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