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

Cooper Boone Utley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386576478

Cooper Boone Utley is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

250 W Green St
Athens, GA 30602-5036
Phone: (706) 542-1911
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PHI-023067 (GA)

Record details

NPI number1386576478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address840 Zion Hope Rd, Tifton, GA 31793-5407

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