Individual provider · Type 1 NPI
Shauntae T. Cooper, MASTER COSMETOLOGIST
Specialist · Savannah, GA
NPI number
1609628577
Active
Practice location
218 W Victory Dr Ste 9
Savannah, GA 31405-1718
Mailing address
801 W 40th St
Savannah, GA 31415-8707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CO126617 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1609628577
Shauntae T. Cooper, MASTER COSMETOLOGIST's National Provider Identifier is 1609628577, issued on Apr 3, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Savannah, GA. The record was last updated on Apr 3, 2024.