Condace Dornella Cooper, L.D.
Registered Dietitian · Quitman, GA
Practice location
903 N Court StQuitman, GA 31643-1315
- Phone
- (229) 263-4171
NPI record
- NPI
- 1396987665
- Entity type
- Individual (Type 1)
- Enumeration date
- April 1, 2009
- Last updated
- April 1, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Dietitian Primary | 133V00000X |
LD003261 | GA |
Mailing address
920 Cairo RdThomasville, GA 31792-4255
- Phone
- (229) 228-8800
- Fax
- (229) 228-8892
About Condace Cooper
Condace Dornella Cooper, L.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 903 N Court St, Quitman, GA 31643-1315. The NPI number 1396987665 was assigned on April 1, 2009 and the record was last updated on April 1, 2009.
Condace Cooper lists a license in the registry: #LD003261 (GA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Condace Dornella Cooper, L.D.?
The NPI number is 1396987665.
What is the phone number of Condace Cooper?
The phone number listed for the practice location is (229) 263-4171.
Where is Condace Cooper located?
903 N Court St, Quitman, GA 31643-1315.
What is the taxonomy code for Condace Cooper?
The primary taxonomy code is 133V00000X – Registered Dietitian.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.