Cooper, Donna M

Cooper, Donna M is an individual health care provider with primary practice located at 545 Old Norcross Rd Suite 300, Lawrenceville GA 30045-3389. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cooper, Donna M can be contacted via phone (770) 963-6300.

Contact Information

Primary practice address
545 Old Norcross Rd Suite 300 Lawrenceville GA 30045-3389
Phone: (770) 963-6300
Fax: (678) 287-1664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01398 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002278 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002278 Georgia

Profile Details

NPI number 1861654170
LBN Legal business name Cooper, Donna M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Apr 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861654170 NPPES
Georgia MEDICAID 843768621A

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