Candice Cooper, PHD

NPI 1891032322 · on the registry since 2013 · sole proprietor

Practice

Address: 500 Lanier Ave W
Suite 908
Fayetteville, GA 30214
Phone: (678) 561-4468
Organisation at this address: Acts
Rn Drip, Llc
Sacred Waters, Llc
Serene Concepts Pc
Beth Care Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-03

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