Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Condace Dornella Cooper, LD

Individual provider Registered Dietitian · NPI 1396987665

Condace Dornella Cooper, LD is a Registered Dietitian in Quitman, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

903 N Court St
Quitman, GA 31643-1315
Phone: (229) 263-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD003261 (GA)

Record details

NPI number1396987665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 1, 2009
Mailing address920 Cairo Rd, Thomasville, GA 31792-4255