MRS. Mary Lane Cooper, PA/C is a medical physician assistant in Claxton, GA. MRS. Mary Lane Cooper, PA/C NPI is 1508116765. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3609 BILL HODGES RD
CLAXTON, GA
ZIP 30417-235
Phone: (912) 739-4807
Fax: (912) 739-2939
The enumeration date for this NPI number is 9/14/2012 and was last updated on 9/14/2012.