Individual provider · NPI-1

George Leonard Cooper, M.D.

Ophthalmology · Fayetteville, NC

NPI number1851395602
StatusActive
Last updated in NPPESNov 24, 2015

Details

NPI
1851395602
Entity type
Individual (NPI-1)
Name
George Leonard Cooper
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2005
Last updated
Nov 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology9600893NCYes
207W00000X Ophthalmology1925301NY
207W00000X Ophthalmology31520KY

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

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