SearchGeorgia174400000X

Eva Cooper

NPI 1700167426 · on the registry since 2011 · sole proprietor

Practice

Address
1024 Us Highway 80 W
Ste 206
Pooler, GA 31322
Phone
(912) 342-3036
Organisation at this address
Bellis, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia