NPI 1669134300

Melissa Shunta Cooper, CMA

Practitioner Phlebology Physician Watkinsville, GA

Practice location

Address: 4600 Farmington Rd, Watkinsville, GA 30677-4374
Phone: (706) 340-9566

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 20268794737 (GA)

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Registry record

NPI: 1669134300
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2021
Record last updated: 11 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.