Cooper, Richard Glynn
Cooper, Richard Glynn is an individual health care provider with primary practice located at 2704 N Oak St Building E, Valdosta GA 31602-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cooper, Richard Glynn can be contacted via phone (229) 333-9729.Contact Information
Primary practice address
2704 N Oak St Building E
Valdosta GA 31602-1744
Phone: (229) 333-9729
Fax: (229) 333-0832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 038209 | Georgia |
Profile Details
| NPI number | 1467433573 |
|---|---|
| LBN Legal business name | Cooper, Richard Glynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467433573 | NPPES |
| Georgia | MEDICAID | 000597803A |
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