Individual provider · Type 1 NPI

Mary Alice Cooper, PA

Physician Assistant · Atlanta, GA

NPI number 1104939685 Active

Practice location

1525 Clifton Rd NE, Suite 207
Atlanta, GA 30322-4200

Call (404) 778-4451 Map

Fax (404) 778-4355

Mailing address

379 Milledge Ave SE
Atlanta, GA 30312-3238

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001773 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104939685

Mary Alice Cooper, PA's National Provider Identifier is 1104939685, issued on Aug 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.