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Robert Charlton Cooper, OTR/L
Military Health Care Provider in Fort Moore, Georgia
NPI 1285814830

Robert Charlton Cooper is a Military Health Care Provider based in Fort Moore, GA. Robert Charlton Cooper practices in Fort Moore, GA and has the professional credentials of OTR/L. The NPI Number for Robert Charlton Cooper is 1285814830 and holds a License No. OT004016 (Georgia).

The current practice location address for Robert Charlton Cooper is 6600 Van Aalst Blvd, Fort Moore, GA and can be reached out via phone at 762-408-1617.

Location: 6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285814830
Provider Name
Robert Charlton Cooper
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Phone Number
762-408-1617
Fax Number
Provider Enumeration Date
11/13/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-1617
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-1617
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
OT004016 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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