Provider Demographics
NPI:1861632150
Name:COOPER, HARRY ALAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ALAN
Last Name:COOPER
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 RIVERWOOD CT NW
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-3740
Mailing Address - Country:US
Mailing Address - Phone:404-255-1512
Mailing Address - Fax:404-255-4311
Practice Address - Street 1:255 RIVERWOOD CT NW
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-3740
Practice Address - Country:US
Practice Address - Phone:404-255-1512
Practice Address - Fax:404-255-4311
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine