Richard G Cooper (NPI# 1467433573, PAC ID# 3779486584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1467433573 |
| PAC ID by PECOS | 3779486584 |
| Professional Enrollment ID | I20040129000547 |
| Full Name | Richard G Cooper |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF VALDOSTA, LLC |
| Address |
2704 N Oak St Bldg E Valdosta GA 31602-1744 |
| Phone Number | 2292490353 |
| Gender | M |
| Credential | MD |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294914198 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 111326 | SGMC LANIER CAMPUS |
| 111332 | BROOKS COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2704 N Oak St Bldg E, Valdosta, GA 31602-1744 | 2292490353 | RADIOLOGY ASSOCIATES OF VALDOSTA, LLC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF VALDOSTA, LLC |
| Physicians | 1 |
| Street Address |
2704 N OAK ST BLDG E |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-1744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VALDOSTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Richard G Cooper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.