| Michael Townsend Cooper Jr, MD | |
|
3208 Shrine Rd, Brunswick, GA 31520-4325 | |
| (912) 265-2036 | |
| (912) 265-6779 |
| Full Name | Michael Townsend Cooper Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3208 Shrine Rd, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225079452 | NPI | - | NPPES |
| 181268695A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 054478 (Georgia) | Primary |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Townsend Cooper Jr, MD 3208 Shrine Rd, Brunswick, GA 31520-4325 Ph: (912) 265-2036 | Michael Townsend Cooper Jr, MD 3208 Shrine Rd, Brunswick, GA 31520-4325 Ph: (912) 265-2036 |
Dr. Shontae R Buffington, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 4th St, Brunswick, GA 31520 Phone: 912-466-5870 Fax: 912-466-5883 | |
Dr. Helene Victoria Coyle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3208 Shrine Rd, Brunswick, GA 31520 Phone: 912-265-2036 Fax: 912-265-6779 | |
Dr. Evelyn Delois Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Gloucester St, Brunswick, GA 31520 Phone: 912-265-8080 Fax: 912-265-8513 | |
Dr. Amanda Grounds Joseph, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Glynco Pkwy Ste 31, Brunswick, GA 31525 Phone: 912-456-3605 | |
Elena V Bryant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 4th St, Brunswick, GA 31520 Phone: 912-466-5870 | |
Stephen James Thompson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3208 Shrine Rd, Brunswick, GA 31520 Phone: 912-265-2036 Fax: 912-265-6779 |