Organization · NPI-2

George L Cooper MD

Ophthalmology · Fayetteville, NC

NPI number1366624124
StatusActive
Last updated in NPPESJul 21, 2008

Details

NPI
1366624124
Entity type
Organization (NPI-2)
Legal business name
George L Cooper MD
Organization subpart
No
Enumeration date
Dec 3, 2007
Last updated
Jul 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes
332H00000X Eyewear Supplier (Equipment, not the service)1226NC

Practice location

2139 Valleygate Dr Ste 101a
Fayetteville, NC 28304-3666

Phone 910-323-2002 · Fax 910-323-3477

Mailing address

2139 Valleygate Dr Ste 101a
Fayetteville, NC 28304-3666

Phone 910-323-2002 · Fax 910-323-3477

Authorized official

George L Cooper
Owner
9103232002

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