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MRS. MARY LANE COOPER PA/C
NPI 1508116765
Physician Assistant - Medical in Claxton, GA

Active since September 14, 2012
3609 BILL HODGES RD, CLAXTON, GA 30417(912) 739-4807(912) 739-2939 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Lane Cooper Pa/c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY LANE COOPER PA/C (NPI 1508116765) is an individual medical provider in Claxton, Georgia, licensed in Georgia (1586) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1508116765
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARY LANE COOPERCredential: PA/C
Location Address3609 BILL HODGES RDClaxton, GA 30417-6235
Mailing Address3609 Bill Hodges RdClaxton, GA 30417-6235 · (912) 739-4807 · Fax (912) 739-2939
Phone(912) 739-4807
Fax(912) 739-2939
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
✔ NPI 1508116765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 1586
3609 BILL HODGES RD, Claxton, GA 30417
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Cooper's NPI number?

The NPI number for Mary Cooper is 1508116765. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Mary Cooper located?

Mary Cooper practices at 3609 Bill Hodges Rd, Claxton, GA 30417. The listed phone number is (912) 739-4807.

What is Mary Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Cooper was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.