Cooper, Carroll Donell

Cooper, Carroll Donell is an individual health care provider with primary practice located at 251 Medical Way Suite B, Riverdale GA 30274-2522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Cooper, Carroll Donell can be contacted via phone (678) 974-0158.

Contact Information

Primary practice address
251 Medical Way Suite B Riverdale GA 30274-2522
Phone: (678) 974-0158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 63309 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 63309 Georgia

Profile Details

NPI number 1861570012
LBN Legal business name Cooper, Carroll Donell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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